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

Abstract

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.

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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.