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Diagnostic conundrum: simultaneous gallstone ileus and a gas-filled inguinal hernia in a patient with lower abdominal pain
  1. Jacob Whitworth,
  2. Richard James and
  3. James Hopkins
  1. Radiology, Royal United Hospital Bath NHS Trust, Bath, UK
  1. Correspondence to Dr Jacob Whitworth, j.w.whitworth14{at}


Gallstone ileus and small bowel diverticulosis are uncommon pathologies. However, the simultaneous presentation of both in this patient provided a diagnostic puzzle for the surgical and radiological teams at our institution. The imaging also demonstrated several typical features for the pathologies in question. Ultimately the management of the patient was not compromised by the diagnostic dilemma, but the imaging findings represent a useful learning opportunity for all radiologists and general surgeons.

  • radiology
  • gastrointestinal surgery
  • surgery
  • pancreas and biliary tract
  • gallstone ileus
  • small bowel diverticulosis

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  • Contributors JW, RJ and JH were all involved in the care of the patient. JW wrote the case report with supervision and corrections from RJ. The draft was reviewed and agreed by JH before submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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