Rolling in the Deep: Imaging Findings and Diagnostic Pearls in Gallstone Ileus

Figure 6

Contrast-enhanced computed tomography (CT) in a patient with gallstone ileus: two peripherally calcified stones (arrowheads in (a)) are present, the first visible in the gallbladder and the latter enlodged in the jejunum; the fistulous tract between the gallbladder and the duodenum is well visualized (arrow). A sagittal reformatted CT image obtained a few years before shows the gallbladder lumen filled with multiples stones (b).

(a)

(b)