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Gastrointestinal
Diagnosis
Small Intestine
Degenerative
Gallstone Ileus
Gallstone Ileus
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Gallstone ileus (GSI)

              • Definitions

                • Mechanical bowel obstruction secondary to impacted gallstones

              IMAGING

              • General Features

                • Radiographic Findings

                  • Fluoroscopic Findings

                    • CT Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Turner AR et al: Gallstone Ileus. StatPearls [Internet]. StatPearls Publishing, 2021
                                    2. Morosin T et al: Gallstone ileus: an unusual cause of intestinal obstruction. Cureus. 12(3):e7284, 2020
                                    3. Dunphy L et al: Gallstone ileus managed with enterolithotomy. BMJ Case Rep. 12(10), 2019
                                    4. Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
                                    5. Shenoy S: Spontaneous internal biliary fistulas from gallstones: Mirizzi's syndrome, cholecystoenteric fistula, and gallstone ileus. Am Surg. 80(4):409-11, 2014
                                    6. Gasparrini M et al: Gallstone ileus: a case report and review of the literature. Chir Ital. 60(5):755-9, 2008
                                    7. Memon B et al: Gallstone ileus: a difficult emergency diagnosis!. Ir J Med Sci. 179(1):151-3, 2008
                                    8. Ayantunde AA et al: Gallstone ileus: diagnosis and management. World J Surg. 31(6):1292-7, 2007
                                    9. Lassandro F et al: Role of helical CT in diagnosis of gallstone ileus and related conditions. AJR Am J Roentgenol. 185(5):1159-65, 2005
                                    10. Yu CY et al: Value of CT in the diagnosis and management of gallstone ileus. World J Gastroenterol. 11(14):2142-7, 2005
                                    11. Vaidya JS et al: Gallstone ileus. Lancet. 362(9390):1105, 2003
                                    12. Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002
                                    13. Lyburn ID et al: Gall-stone ileus: imaging features. Hosp Med. 63(7):434-5, 2002
                                    14. Delabrousse E et al: Gallstone ileus: CT findings. Eur Radiol. 10(6):938-40, 2000
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Gallstone ileus (GSI)

                                                • Definitions

                                                  • Mechanical bowel obstruction secondary to impacted gallstones

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • Fluoroscopic Findings

                                                      • CT Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Turner AR et al: Gallstone Ileus. StatPearls [Internet]. StatPearls Publishing, 2021
                                                                      2. Morosin T et al: Gallstone ileus: an unusual cause of intestinal obstruction. Cureus. 12(3):e7284, 2020
                                                                      3. Dunphy L et al: Gallstone ileus managed with enterolithotomy. BMJ Case Rep. 12(10), 2019
                                                                      4. Luu MB et al: Unusual complications of gallstones. Surg Clin North Am. 94(2):377-94, 2014
                                                                      5. Shenoy S: Spontaneous internal biliary fistulas from gallstones: Mirizzi's syndrome, cholecystoenteric fistula, and gallstone ileus. Am Surg. 80(4):409-11, 2014
                                                                      6. Gasparrini M et al: Gallstone ileus: a case report and review of the literature. Chir Ital. 60(5):755-9, 2008
                                                                      7. Memon B et al: Gallstone ileus: a difficult emergency diagnosis!. Ir J Med Sci. 179(1):151-3, 2008
                                                                      8. Ayantunde AA et al: Gallstone ileus: diagnosis and management. World J Surg. 31(6):1292-7, 2007
                                                                      9. Lassandro F et al: Role of helical CT in diagnosis of gallstone ileus and related conditions. AJR Am J Roentgenol. 185(5):1159-65, 2005
                                                                      10. Yu CY et al: Value of CT in the diagnosis and management of gallstone ileus. World J Gastroenterol. 11(14):2142-7, 2005
                                                                      11. Vaidya JS et al: Gallstone ileus. Lancet. 362(9390):1105, 2003
                                                                      12. Abou-Saif A et al: Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 97(2):249-54, 2002
                                                                      13. Lyburn ID et al: Gall-stone ileus: imaging features. Hosp Med. 63(7):434-5, 2002
                                                                      14. Delabrousse E et al: Gallstone ileus: CT findings. Eur Radiol. 10(6):938-40, 2000