ArticleCureus2024
Noncalcified Gallstone Ileus in Computed Tomography (CT) Abdomen and Pelvis With Contrast.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Diagnostic Value of Multimodal Imaging and Histopathology in Gallstone Ileus: A Retrospective Analysis.Diagnostics (Basel, Switzerland) · 2025Article
- Rigler's Triad Another Challenge to Remember.JMA journal · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gallstone ileus is a rare but serious complication of chronic cholecystitis, causing mechanical small bowel obstruction. Contrast-enhanced computed tomography (CT) plays a key role in radiological diagnosis. The classic findings are known as Rigler's triad, comprised of pneumobilia, small bowel obstruction, and calcified gallstones. We report a unique case of a 74-year-old female patient who presented with hallmark clinical features of bowel obstruction. CT revealed bowel obstruction and pneumobilia but did not show calcified gallstones, deviating from the usual Rigler's triad. Following midline laparotomy, a noncalcified gallstone was confirmed causing bowel obstruction. This case underscores the need to consider gallstone ileus in small bowel obstruction even in rare cases where conventional CT findings are not present, alongside the value of comprehensive radiological analysis and maintaining a high degree of clinical suspicion. Timely recognition of such atypical cases is vital for effective surgical treatment and better patient outcomes.
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Registered trials
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