Open AccessDiagnostic conundrum: simultaneous gallstone ileus and a gas-filled inguinal hernia in a patient with lower abdominal pain
Author(s) -
Jacob Whitworth,
Richard James,
James Hopkins
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-230422
Subject(s) - medicine , presentation (obstetrics) , inguinal hernia , gallstone ileus , general surgery , radiological weapon , radiology , ileus , abdominal pain , radiological imaging , hernia , bowel obstruction , surgery , fistula
Gallstone ileus and small bowel diverticulosis are uncommon pathologies. However, the simultaneous presentation of both in this patient provided a diagnostic puzzle for the surgical and radiological teams at our institution. The imaging also demonstrated several typical features for the pathologies in question. Ultimately the management of the patient was not compromised by the diagnostic dilemma, but the imaging findings represent a useful learning opportunity for all radiologists and general surgeons.