Clinical Research
Copyright ©2005 Baishideng Publishing Group Inc.
World J Gastroenterol. Apr 14, 2005; 11(14): 2142-2147
Published online Apr 14, 2005. doi: 10.3748/wjg.v11.i14.2142
Table 1 Causes of SBO in 165 patients.
Cause of SBONumber of patients
Gallstone ileus14
Phytobezoar7
Intussusception13
Inguinal hernia10
Spigelian hernia7
Obturator hernia3
Transmesosigmoid hernia1
Appendicitis6
Perforated appendicitis4
Periappendiceal abscess2 (21)
Diverticulitis with rupture2
Ischemic bowel disease5
Eosinophilic enteritis1
Intramural hematoma3 (22)
Adhesive band57 (192)
Malignant lymphoma3
Adenocarcinoma of jejunum1
Adenocarcinoma of ileum1
Adenocarcinoma of ileo-cecal valve9
Adenocarcinoma of ascending colon17
Adenocarcinoma of hepatic flexure colon2
Table 2 Plain film, CT findings and clinical data in 14 cases of gallstone ileus.
Case1234567891011121314
Plain film
Pneumobilia--+-+-+-++---
- Gas in gall bladder fossa-----+-------+
Small bowel obstruction--++++++++++--
Ectopic gallstone+--++++--+----
CT
Pneumobilia--+++-+-++--+-
Gall bladder contentAirFluidAirAirAir-fluidAirAir-fluidAirAirAirAirAirFluidAir-fluid
Small bowel obstruction++++++++++++++
Ectopic gallstoneTCRCRCTCTCRCTCRCRCTCRCRCRCRC
Other CT findings
Cholecysto-duodenal fistula---+-+---+----
Thickened duodenum (>1cm)+++-----------
Ascites++++++-+-+----
Thickened small intestine (>1cm)-+---+--------
Clinical data
Symptom onset duration (d)11123334555555
WBC(×109/L) upon admission24.7024.5021.7016.5013.9013.5012.4010.2510.905.307.306.609.508.30