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Emerg Med J 30:370 doi:10.1136/emermed-2012-202207
  • Images in emergency medicine

Gallstone ileus: a diagnostic challenge by plain radiography

  1. Ming-Yuan Huang
  1. Emergency Department, Mackay Memorial Hospital, Taipei, Taiwan
  1. Correspondence to Dr Ming-Yuan Huang, Emergency Department, Mackay Memorial Hospital, 92, Section 2, Chung-Shan North Road, Taipei 10449, Taiwan; m.c.yuan{at}yahoo.com.tw
  • Received 25 November 2012
  • Revised 25 November 2012
  • Accepted 27 November 2012
  • Published Online First 19 December 2012

A 49-year-old woman with no surgical history had abdominal pain and fullness for 3 days. Initially, the pain was localised at the epigastric area, and on the third day the pain had became severe and generalised. On presentation, the patient had rigorous nausea and vomiting with normal vital signs. Physical examination revealed a …


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