Abstract

Background: A 34-year-old woman with breast cancer, metastasized to bone and brain, was admitted to our hospital with abdominal discomfort, nausea and constipation. Physical examination revealed a diffuse tender abdomen without bowel sounds. On laboratory examination, slightly elevated gamma-GT levels were found; gastroscopy showed 2 liter of bilious fluid. A nasogastric tube was placed.

Highlights

  • A 34-year-old woman with breast cancer, metastasized to bone and brain, was ­admitted to our hospital with abdominal discomfort, nausea and constipation

  • Cholelithiasis is a common disease with a 10% prevalence in the United States and Western Europe

  • Gallstone ileus is an unusual complication of cholelithiasis, occurring in less than 0.5% of the patients

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Summary

Introduction

A 34-year-old woman with breast cancer, metastasized to bone and brain, was ­admitted to our hospital with abdominal discomfort, nausea and constipation. 1. Department of Radiology, Academic Medical Center Amsterdam, Amsterdam, The Netherlands, 2. GALLSTONE ILEUS WITH A BILIODIGESTIVE FISTULA — SCHIJF et al On contrast-enhanced CT scan of the abdomen (Fig. 1), reformatted image in the sagittal plane (A), some slightly dilated small bowel loops are visible, with multiple air-fluid levels (white arrowhead) and a duodenal tube (dark arrowhead).

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