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June 13, 2026Radiology Case ReportsOpen Access

Gallstone ileus due to a visible cholecystoduodenal fistula with pneumobilia CT diagnosis and surgical management: A case report

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Authors

LOLatifa Ou-SkouMohammed V UniversityMEM. EdderaiMohammed V UniversityOZOuijdane ZamaniMohammed V University

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Implication

Case report demonstrates CT diagnosis of gallstone ileus in an elderly patient, emphasizing surgical management implications.

Key Points

  • To present a case of gallstone ileus due to a cholecystoduodenal fistula diagnosed with CT imaging.
  • Reported a case involving a 69-year-old woman with multiple comorbidities and symptoms of bowel obstruction.
  • Utilized contrast-enhanced CT to demonstrate obstruction, pneumobilia, and the fistula.
  • Performed urgent laparotomy with enterolithotomy, deferring cholecystectomy and fistula repair due to patient age and comorbidities.
  • CT confirmed small-bowel obstruction and pneumobilia, identifying a cholecystoduodenal fistula.
  • Surgical intervention included enterolithotomy with restoration of bowel continuity; recovery was uneventful.

Cite This Study

Ou-Skou et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf500faef96ed7f05719chttps://doi.org/10.1016/j.radcr.2026.05.017
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Role of Helical CT in Diagnosis of Gallstone Ileus and Related Conditions2005 · 171 citations
  2. 2Gallstone Ileus: Management and Clinical Outcomes2019 · 59 citations
  3. 3Value of CT in the diagnosis and management of gallstone ileus2005 · 243 citations