Safra taşı ileusu: Bilgisayarlı tomografi bulguları

Safra taşı ileusu, safra yolu taşlarının nadir ancak ciddi bir komplikasyonu olup safra yolları ile mide, duodenum veya kolon arasındaki fistül nedeniyle oluşur. İntestinal sisteme ulaşan safra taşı ileusa neden olabilir. Görüntüleme yöntemleriyle (Bilgisayarlı tomografi gibi) safra taşı ileusunun erken tanısı ve ileusun erken tedavisi sağkalım açısından büyük öneme sahiptir. Ayrıca, altta yatan ileus sebebinin doğru tanısı cerrahiye yol göstereceğinden önemlidir. Biz burada, bilgisayarlı tomografi (BT) ile operasyon öncesi safra taşı ileusu tanısı konulan 73-yaşında bir hasta sunuyoruz. BT’de midede distansiyon, duodenal ve jejunal ince barsak anslarında dilatasyon, jejunumda taş ve oral kontrast maddenin fistül traktına ve safra yollarına reflüsü gösterilmektedir.

Gallstone ileus: Computed tomography findings

Gallstone ileus (GI) is an unusual but serious complication of biliary stone and it is caused by a fistula betweenthe bile ducts and stomach, duodenum or colon. Gallstone that reaches the intestinal tract can be cause ileus.Early diagnosis with imaging modalities (such as computed tomography) and treatment of ileus are of greatimportance for survival. In addition, accurate diagnosis of underlying cause of the ileus is also important becauseit will guide the surgeon.We present a 73-year old patient with gallstone ileus preoperatively diagnosed with computed tomography (CT).CT showed gastric distention, dilated duodenal and jejunal small bowel loops, a calculus in the jejunal segmentof the small bowel and enteral contrast medium reflux into the fistula tract and bile ducts.

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