An 82-year-old woman presented to the emergency department with progressive abdominal distension, lower extremity edema, and shortness of breath after returning from South America.

一位82岁女性在从南美洲返回后，因行性腹部胀大、下肢呼吸困难，前往急诊科就诊。

We were taught that low blood sugar levels stimulated the desire to start eating and that physical distension of the stomach sent messages to the brain to stop us eating.

我们被告知，低血糖平会激欲望，而胃物理膨胀则会向大脑发送停止信息。

Signs and symptoms of gallstone ileus include abdominal distension from the blockage, as well as nausea and vomiting, and a history of recurrent right upper quadrant pain, which is consistent with the repeated inflammation of chronic cholecystitis.

胆石性肠梗阻症状和体征包括梗阻引起腹胀、恶心、呕吐，反复发作右上腹痛史，这与慢性胆囊炎反复炎症症状一致。