scholarly journals Rigler’s triad in an 88-year-old woman

2010 ◽  
Vol 93 (6) ◽  
pp. 324
Author(s):  
K De Smet ◽  
M De Maeseneer ◽  
Y A Talebian ◽  
B Ilsen ◽  
P Dewachter ◽  
...  
Keyword(s):  
Rigler’S Triad

Rigler’s Triad

2014 ◽  
Vol 40 (1) ◽  
pp. 229-230 ◽  
Author(s):  
Augustus Key ◽  
Adrian Dawkins ◽  
David DiSantis
Keyword(s):  
Rigler’S Triad

scholarly journals Tríada de Rigler radiológica en un caso de íleo biliar

2020 ◽  
Vol 112 (2) ◽  
pp. 203-204
Author(s):  
Martín Varela Vega ◽  
◽  
Micaela Mandacen ◽  
Andrés Pouy
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Mechanical Obstruction ◽  
Cholecystoduodenal Fistula ◽  
Radiographic Evidence ◽  
Rigler’S Triad

Background: gallstone ileus is a rare complication of cholelithiasis. It is defined as a mechanical obstruction of the small bowel due to impaction of large gallstones into the gastrointestinal tract, generally though a cholecystoduodenal fistula. Rigler’s triad (pneumobilia, ectopic gallstone and mechanical obstruction) occurs in 30% of the patients. Surgery is indicated and includes enterotomy with gallstone extraction. Objective: we report a case of gallstone ileus with radiographic evidence of Rigler’s triad

scholarly journals Gallstone Ileus with Resolution of Bile Leak Post-Subtotal Cholecystectomy and Spontaneous Closure of Cholecystoduodenal Fistula: Case Report and Literature Review

2021 ◽  
Author(s):  
Jessy Ng Suk Ning ◽  
Satkunan Mark ◽  
Yan Yang Wai
Keyword(s):  
Bowel Obstruction ◽  
Gallstone Ileus ◽  
Bile Leak ◽  
Spontaneous Closure ◽  
Gallbladder Perforation ◽  
Cholecystoduodenal Fistula ◽  
Biliary Calculi ◽  
Post Surgery ◽  
Post Operation ◽  
Rigler’S Triad

Gallstone ileus (GSI) is a mechanical intraluminal bowel obstruction caused by biliary calculi through the biliary-enteric fistula. This is a rare sequela of cholelithiasis occurring in 0.3 – 1.5% of patients with worrying mortality of 11.7 – 20%. This is a case of GSI in a 67-year-old woman who presented with small bowel obstruction secondary to impaction of biliary calculi at terminal ileum with underlying cholecystoduodenal fistula (CDF). Enterolithotomy with stone extraction (ES) was performed, followed by subtotal reconstituting cholecystectomy due to iatrogenic gallbladder perforation. The diagnosis of GSI is ascertained by the presence of the Rigler’s triad on abdominal X-ray, while CDF was demonstrated by post-surgery CT images. Bile leak post-operation was managed conservatively based on the SNAP (Sepsis, Nutrition, Anatomy, Plan) approach, and spontaneous closure of CDF was observed. In a nutshell, GSI should always be kept in mind as a differential diagnosis of mechanical bowel obstruction, especially among elderly female patients. Radiological findings of Rigler’s triad aid clinical diagnosis of GSI. Despite its rare incidence, early diagnosis is crucial as it is readily treatable with surgery. ES alone is the gold standard in the management of GSI.

scholarly journals Rigler's triad in gallstone ileus: a rare form of bowel obstruction

2016 ◽  
Vol 81 (2) ◽  
pp. 103-104 ◽  
Author(s):  
M.M. Ramírez-Ramírez ◽  
E. Villanueva-Saenz ◽  
G. Zubieta-Ófarril
Keyword(s):  
Bowel Obstruction ◽  
Gallstone Ileus ◽  
Rare Form ◽  
Rigler’S Triad
Sign in / Sign up

Export Citation Format

Share Document