alexa Rigler’s Triad: Pneumobilia, Small Bowel Obstruction, and a Gallstone
ISSN: 2165-8048

Internal Medicine: Open Access
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Rigler’s Triad: Pneumobilia, Small Bowel Obstruction, and a Gallstone

Hammami MB1,2*, and Chhapparia A1

1Department of Internal Medicine, Saint Louis University, Saint Louis, MO, USA

2Division of Gastroenterology and Hepatology, Saint Louis University, Saint Louis, MO, USA

*Corresponding Author:
Muhammad B. Hammami
Gastroenterology and Hepatology
Department of Internal Medicine
Saint Louis University School of Medicine
St Louis, USA
Tel: +1 3145778764
Fax: +1 3145778125
E-mail: [email protected]

Received date: February 19, 2017; Accepted date: February 25, 2017; Published date: February 28, 2017

Citation: Hammami MB, Chhapparia A (2017) Rigler’s Triad: Pneumobilia, Small Bowel Obstruction, and a Gallstone. Intern Med, 7: i114. doi: 10.4172/2165-8048.1000i114

Copyright: © 2017 Hammami MB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



A 63-year-old Caucasian male with history of Schizophrenia and developmental disability presents with progressive abdominal pain and worsening nausea. Computed tomography of the abdomen and pelvis demonstrated pneumobilia in both the common bile and left hepatic duct and a contracted high-grade small bowel obstruction secondary to a peripherally hyper dense and centrally lucent 5.4 cm × 2.9 cm structure representing a gallstone at the ileocecal junction. After electrolyte correction the patient underwent an exploratory laboratory where he was found to have already passed the stone. There were no other findings intra-operatively and his course was otherwise uncomplicated.


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