Successful one-stage surgical management of gallstone ileus without enterotomy

Gallstone ileus (GI) is a mechanical type of intestinal obstruction (MIO) due to the impaction one or multiple stones within lumen. GI rare causes MIO that accounts for less than 1% cases which common in elderly population with comorbidities. The presentation non-specific, and this often leads delay diagnosis. Mainly diagnosis relies on radiological approach upon background clinical history. commonly practised surgical management is, relieving by stone retrieval via an enterotomy. case describes 78 year old patient presented gallstone ileus, managed successfully without entrotomy evacuating cholecysto-enteric fistula (CEF). Intra-operative assessment size, CEF opening status intestine proximal will give chance retrieve enterotomy addition used techniques.