Abstract
Gallstone ileus is a rare cause of gastrointestinal (GI) complication of gallstone that causes mechanical intestinal obstruction due to gallstone impaction in the gastrointestinal tract. About less than 1% of intestinal obstruction is caused by this. Patients may present with non-specific signs and symptoms. Surgical relief of gastrointestinal obstruction remains the mainstay of operative treatment. Classical findings on plain abdominal radiography include (1) pneumobilia; (2) intestinal obstruction; (3) an aberrantly located gallstone; and (4) change of location of a previously observed stone. The current surgical procedures are: (1) simple enterolithotomy; (2) enterolithotomy, cholecystectomy, and fistula closure (one-stage procedure); and (3) enterolithotomy with cholecystectomy performed later (two-stage procedure). We describe a case of gallstone ileus.
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