Case Report: A typical, nearly missed jejunal gallstone ileus - Takeaways - MDSpire
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Case Study: An Uncommon Jejunal Gallstone Ileus That Was Nearly Overlooked

  • By

  • Chengyang Chen

  • Yushi Fan

  • Baoping Tian

  • Hui Shan

  • Nanxia Xuan

  • Linlin Du

  • Gensheng Zhang

  • August 18, 2026

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  • 1

    Gallstone ileus is a rare cause of intestinal obstruction, particularly affecting the elderly, with jejunal involvement being uncommon.

  • 2

    Contrast-enhanced CT is the primary imaging technique for diagnosing gallstone ileus, but minimally calcified stones may be missed.

  • 3

    A 68-year-old female presented with abdominal pain and underwent two CT scans that failed to identify an obstructive gallstone.

  • 4

    Emergency exploratory laparotomy revealed a rim-calcified gallstone lodged in the jejunum, which was successfully removed.

  • 5

    Effective communication between clinicians and radiologists is essential to minimize diagnostic errors in cases of gallstone ileus.

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