with endoscopic sphincterotomy is the treatment of choice for common bile duct (CBD) stones. The complication rate is 5-10% with a mortality rate between 0.5-1.0%. Post-ERCP complications are usually apparent within three days of the procedure, and rarely present after the 12 day. Pancreatitis and bleeding are the most common complication. Gallstone ileus after ERCP with CBD removal is exceedin...

We report a case of small bowel obstruction which was found to be due to an enterolith obstructing the distal ileum in the manner of "gallstone ileus." The enterolith had formed in an acquired jejunal diverticulum. We review the accepted mechanism of formation of these "stones" and propose a protocol for treatment of this rare complication.

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complicatio...