When X gets out of its normal location…
- Axial CT image of the upper abdomen
through Y causing Z…
- Oblique sagittal CT image of porta hepatis
and ends up stuck at A…
- Axial CT image of the pelvis
it results in B…
- Oblique coronal CT image of the lower abdomen & pelvis
and the person presents with C…
- CT scout / scanogram of Abdomen
Where,
X = Large Gallstone
Y = Common Bile Duct
Z = Pneumobilia
A = Distal ileum
B = Dilated proximal small bowel loops
C = Acute intestinal obstruction
Diagnosis = Gallstone ileus
Start Slide Show with PicLens Lite
Nice Vijay. I hope you’ll submit this to SurgeXperiences. Dr Cris is the host for this edition.
the air in the liver is a bit of a giveaway. nice series of scans
Thanks Ramona & bongi.
The first image is from a different patient whose gallstone was asymptomatic. But I saw both in the same week, hence the story.
P.S. Submitted to Dr.Cris
Interesting sequence of images. I will include in SurgeXperiences, and it really nicely fits the theme (Evidence)
all I can say is … OUCH
On of my favorite cases…nice pics.