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Hepatobiliary Imaging in Gallstone Ileus

BOCOBO, GODOFREDO R., M.D.; SLAVIN, JAMES D. Jr., M.D.; RAO, HEMALATHA, M.D.; ASELTINE, DEAL Jr., M.D.; SPENCER, RICHARD P., M.D., Ph.D

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Hepatobiliary imaging was performed in a woman who, at subsequent surgery, was found to have gallstone ileus due to a large gallstone obstructing the proximal jejunum. The triad of findings (failure of the radiopharmaceutical to pass beyond the point of obstruction, marked reflux into the stomach, and nonvisualization of the gallbladder) is nonspecific but, in the appropriate clinical setting, should suggest the possibility of gallstone ileus.

From the Department of Radiology, Saint Francis Hospital and Medical Center, Hartford, and the Department of Nuclear Medicine, University of Connecticut Health Center, Farmington, Connecticut

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