Gallstone ileus is a rare complication of cholecystolithiasis, with the majority of cases requiring surgical treatment. In this paper, we describe a case of gallstone ileus that was successfully treated twice with conservative therapy. An 85-year-old woman was admitted to our hospital because of abdominal pain and vomiting. She had previously been treated with antibiotics for cholecystitis aris...

tion of gallstone disease and is primarily treated surgically. We describe three cases of gallstone ileus, including the first report of successful treatment of jejunal gallstone ileus by endoscopically applied electrohydraulic lithotripsy (EHL). A 67−year−old woman was admitted to hospital with epigastric pain. Ultrasonog− raphy showed gallbladder stones and air in the biliary tree. Intestinos...

Background: Gallstone disease constitutes a significant health problem in developed countries. While it was thought to be uncommon in Africa, it currently seems that the disease is more frequently seen than expected. The magnitude of gallstone disease is not well studied in Ethiopia. The purpose of this study is to determine the magnitude of the problem as seen in Ayder Referral Hospital in Mek...

We report a 91-year-old woman presenting bowel obstruction due to impacted gallstone, who was the oldest patient which has been reported in Japanese scientific literature. The patient was referred to our hospital due to vomiting and abdominal pain. Computed tomography and abdominal X-ray showed dilated loops of small intestine associated with air-fluid levels, pneumobilia, and a calcified mass ...

The symptoms of Crohn's disease can vary significantly among afflicted individuals. It is a chronic inflammatory disease, which has many complications involving gastrointestinal and other symptoms. The diagnosis of gallstone ileus is difficult in Crohn's disease and an early diagnosis can reduce mortality. We present a case of 72 year old female with known Crohn's disease with acute right iliac...

The management of asymptomatic gallstone has achieved great importance after the advent of “Lapchole” with several obvious advantages : less pain, small scars, early discharge and return to work, minimal use of non-steroidal antiinflammatory drug (NSAID) and lower risk of adhesions in post-operative period. Since a day care surgery, offered by some laparoscopic surgeons to complete their learni...

We report a case of a 92-year-old man complaining of epigastric pain, which an US first and a CT scan later revealed to be related to a large gallstone causing cholecystitis. After the patient had refused surgical treatment for this condition, he was again referred to our Emergency Department presenting with a clinical picture of gastric obstruction. A new CT scan showed the classic Rigler’s tr...

BACKGROUND Recurrent gallstone ileus is an uncommon mechanical intestinal obstruction secondary to occlusion of the intestine by an intraluminal biliary calculus. CLINICAL CASE Female, 75 years old, ischaemic heart disease (stent), arrived in our department complaining of abdominal pain and vomiting. Computed tomography showed gallstone ileus. The patient underwent an enterotomy with gallston...

A 72-year-old lady presented with abdominal pain and distention of 3 days duration. She did not pass flatus and stools and had few episodes of bilious vomiting for 2 days. She had no past history of abdominal pain or surgery. Coronal CT scan section of abdomen (Fig. 1) showed classical Rigler’s triad of pneumobilia, dilatation of small bowel loops and ectopic gallstone which is characteristic o...

Background. Gallstone ileus is a rare complication of cholelithiasis accounting for 0.3–2.1% total acute intestinal obstructions. The recent years are witnessing sharply elevated incidence and its entailed complications. major diagnostic biases the atypical clinical presentation, instrumental laboratory evidence, relative paucity surgical cases. Aim. Highlighting to surgeons feasibility this re...