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Rigler's triad of gallstone ileus.
Arab J Gastroenterol
January 2025
Department of Pathology, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Pathology, School of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address:
Cholecystogastric fistula presenting as pyloric obstruction - a Bouveret's syndrome: A case report.
World J Gastrointest Endosc
January 2025
Department of Gastroenterology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China.
Background: Bouveret's syndrome is a rare (1%-4%) form of cholelithiasis characterized by gastric outlet obstruction. It presents mainly in elderly women with nausea, vomiting, and abdominal pain. On physical examination, common findings include dehydration signs such as tachycardia, decreased urine output, abdominal discomfort, and distention.
View Article and Find Full Text PDFFrom Chronic Gallstone to Acute Ileus: A Case Report.
Cureus
October 2024
Gastroenterology, Nazareth Hospital, Philadelphia, USA.
Article Synopsis
- Gallstone ileus is a rare cause of bowel obstruction that can be difficult to diagnose due to its vague symptoms and the inconsistent presence of Rigler's triad, which includes pneumobilia, bowel obstruction, and ectopic gallstone.
- An 80-year-old woman with abdominal pain was diagnosed with gallstone ileus after a CT scan showed pneumobilia and a calcified mass in the small bowel, which matched earlier images of a large gallbladder mass.
- The case demonstrates the need for healthcare professionals to review past imaging when diagnosing gallstone ileus, highlighting the value of an integrated electronic medical record system to improve diagnostic accuracy.
Chronic Gallstone Ileus Presenting as Acute Small Bowel Obstruction: A Case Study.
Am J Case Rep
November 2024
Department of Medicine, VA Sierra Nevada Health Care System, Reno, NV, USA.
Article Synopsis
- Gallstone ileus is a rare type of intestinal blockage characterized by the Rigler's triad, which includes small bowel obstruction, air in the biliary tract, and an obstructing gallstone, though not all cases display these signs.
- In this case study, a 71-year-old man experienced abdominal pain, constipation, and distension, leading to the discovery of a long-standing gallstone in his small bowel, initially seen 4 years earlier on imaging.
- Surgical intervention involved laparoscopic removal of the gallstone, which was found encased in fecal material, and the patient made a successful recovery without complications.
Noncalcified Gallstone Ileus in Computed Tomography (CT) Abdomen and Pelvis With Contrast.
Cureus
September 2024
Radiology, Surrey and Sussex Healthcare NHS Trust, East Surrey Hospital, Redhill, GBR.
Gallstone ileus is a rare but serious complication of chronic cholecystitis, causing mechanical small bowel obstruction. Contrast-enhanced computed tomography (CT) plays a key role in radiological diagnosis. The classic findings are known as Rigler's triad, comprised of pneumobilia, small bowel obstruction, and calcified gallstones.
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