Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Colon and Rectal Surgery
  •  General Surgery
  •  Ophthalmic Surgery
  •  Plastic Surgery
  •  Thoracic Surgery
  •  Emergency Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Gynecological Surgery


Citation: Clin Surg. 2017;2(1):1294.Case Report | Open Access

Small Bowel Obstruction Secondary to Gallstone Ileus with Finding of Rigler's Triad on CT Abdomen: A Case Report

Raniga H, Shekhar A and Hendehewa R

Department of Surgery, Caboolture Hospital, Australia

*Correspondance to: Rasika Hendahewa 

 PDF  Full Text DOI: 10.25107/2474-1647.1294


Gallstone ileus is an infrequent cause of small bowel obstruction. It mainly affects the elderly population with a female predominance. Many individuals often have concurrent history of chronic cholelithiasis. A fistula between the gallbladder and duodenum allow for the passage of a gallstone into the small bowel potentially leading to mechanical obstruction. Diagnosis can be difficult even with the help of modern imaging modalities which can lead to a delay in management and high risk of morbidity and mortality. This case demonstrates a commonly cited sign of gallstone ileus known as Rigler’s Triad; small bowel obstruction, a gallstone outside the gallbladder, and air in the biliary tree.


Cite the article

Raniga H, Shekhar A, Hendehewa R. Small Bowel Obstruction Secondary to Gallstone Ileus with Finding of Rigler's Triad on CT Abdomen: A Case Report. Clin Surg. 2017; 2: 1294.

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