Fig. 8

Gall stone ileus in a 67-year-old male patient presented with acute abdominal pain, fever, and vomiting. Post IV contrast CT abdomen and pelvis (a) axial and (b) coronal and (c) sagittal images showing fistula (circle) between the gall bladder and duodenum with multiple intraluminal air fluid levels seen in the gall bladder (white arrowheads), minimal pneumobilia (red arrowheads) and lamellated impacted stone seen at the proximal ileal bowel loop (arrow) with distended proximal small bowel loops (stars)