Point-of-care ultrasound (PoCUS) in the rapid diagnosis of biliary ileus: A case report.

Thomas Fraccalini, Alessandro Maraschi, Rossella Reddavid, Massimo Rizzo, Fabio Perotto, Luciano Cardinale

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In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Authors and funding

6 authors.

Thomas FraccaliniDepartment of Medical and Oncology, Division of Geriatrics Medicine, San Luigi Gonzaga Hospital, Turin, Italy.

Alessandro MaraschiThoracic Surgery Department, University College London Hospitals, NHS Foundation Trust, London, UK. Electronic address: Alessandro.maraschi1@nhs.net.

Rossella ReddavidSurgical Oncology and Digestive Surgery, Department of Oncology, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.

Massimo RizzoSurgical Oncology and Digestive Surgery, Department of Oncology, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.

Fabio PerottoDepartment of Oncology, Radiology Unit, San Luigi Gonzaga University Hospital, Turin, Italy.

Luciano CardinaleRadiology Unit, Ospedale Edoardo Agnelli, Pinerolo, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceBiliary ileus is a rare yet potentially life-threatening cause of mechanical intestinal obstruction, predominantly affecting elderly, comorbid patients. Often underdiagnosed due to non-specific symptoms, it can now be detected earlier with point-of-care ultrasound (PoCUS). CASE PRESENTATION: We present the case of an 85-year-old male with non-specific abdominal symptoms where PoCUS at the bedside facilitated early identification of a distal ileal stone, significantly expediting radiological confirmation and surgical management. CLINICAL DISCUSSION: This case underscores the value of PoCUS in early diagnostic pathways, especially in frail or elderly patients, where rapid decision-making is critical.

conclusionEarly use of PoCUS in patients with non-specific abdominal symptoms can facilitate timely diagnosis of biliary ileus and expedite appropriate management, ultimately improving patient outcomes.

Indexed as

Biliary ileusElderly patient surgeryGallstone ileusMechanical bowel obstructionPoint-of-care ultrasound (PoCUS)

Identifiers

PMID41332031

DOI10.1016/j.ijscr.2025.111949

PMCPMC12550109

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LicenceCC BY-NC-ND

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