Rare—either from cancer or more commonly chronic stone disease. In total, 90% are associated with perforations due to gallstones . Either f...
Rare—either from cancer or more commonly chronic stone disease. In total, 90% are associated with perforations due to gallstones. Either fistulates to the duodenum or the colon. May lead to gallstone ileus.
PLAIN FILM
• Gallstone ileus: dilated bowel, opaque gallstone in bowel and pneumobilia (rare)
CT
• Pneumobilia
• Shrunken gallbladder mimicking a diverticulum of the duodenal bulb
Gallstone ileus. Frontal abdominal radiograph demonstrating small bowel dilatation with pneumobilia (white arrow).
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