Abstract

We read great interest the recent case report and discussion on the topic of gallstone ileus in the JBRquite unusual cases recently of older patients presenting with this rare complication of cholelithiasis. BTR (1). We would like to add our experience with fistulating gallbladder disease as we have had two

Highlights

  • We read great interest the recent case report and discussion on the topic of gallstone ileus in the JBR

  • We would like to add our experience with fistulating gallbladder disease as we have had two quite unusual cases recently of older patients presenting with this rare complication of cholelithiasis

  • Air is demonstrated within the gallbladder, which is thick walled and fistulating directly into the adjacent gastric antrum

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Summary

Introduction

We read great interest the recent case report and discussion on the topic of gallstone ileus in the JBR-. We would like to add our experience with fistulating gallbladder disease as we have had two quite unusual cases recently of older patients presenting with this rare complication of cholelithiasis. Coronal reformatted contrast-enhanced CT abdomen showing large laminated gallstone in the gallbladder (black arrow) and fluid collection in the right anterior abdominal wall, with enhancing rim (white arrow). B. Coronal reformatted image from the same patient showing a fistulous tract (orange arrow) extending from the gallbladder (small white arrow) to the abdominal wall collection (large white arrow).

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