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
Summary
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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