Gall Stone Ileus

Abstract

Abstract: Gall stone ileus is an uncommon cause of small bowel obstruction, accounting for only 1-3% of mechanical small bowel obstruction(1). It is an entity of elderly people with slight predominance in women over men (3.5: 1.0). The incidence of gall stone ileus in patients of cholelithiasis is less than 0.5%. Here, we report an interesting case of a 50 years old female who came to surgical emergency with acute intestinal obstruction. Her CT scan revealed the classical triad of gall stone ileus including small bowel obstruction, pneumobilia and atypical mineral shadow. The patient underwentan emergency laparatomy with enterolithotomy of a stone 1 and half feet distal to DJ. Patient was discharged after 8 days in a satisfactory condition and underwent an elective cholecystectomy with cholecystoduodenal fistula repair after 3 months.