Gallstone ileus is a rare but potentially serious complication of cholelithiasis. It is usually preceded by history of biliary symptoms. It usually occurs as a result of a large gallstone creating and passing through a cholecysto-enteric fistula. Most of the time, the stone will pass the GI tract without any problems, but large enough stones can cause obstruction. The two most common locations ...

Bouveret's syndrome is a rare cause of proximal gallstone ileus with obstruction of duodenum or gastric outlet. We report a case of an 87-year-old female patient presented with 1 week history of vomiting whose plain radiograms showed ileus and pneumobilia. The abdominal computed tomography confirmed pneumobilia and revealed free air and leakage of oral contrast agent in the hepatic hilum and su...

BACKGROUND Gallstone ileus is a rare cause of gastrointestinal obstruction, more frequent in elderly patients, whose treatment is essentially surgical, although some para-surgical and mini-invasive possibilities exist, allowing the solution of such obstructive condition in a completely non-invasive way. DESCRIPTION In our study, after reporting two cases of biliary ileus managed by our surgic...

INTRODUCTION Gallstone ileus following cholecystostomy has been reported once, in a patient with acute cholecystitis, where symptoms of small intestinal obstruction had developed one day after surgery. We report a case of gallstone ileus eight months following a cholecystostomy, which might deter the diagnosis. This is the only such reported case in medical literature according to our knowledge...

We report the case of a 94-year-old woman with Bouveret's syndrome, where endoscopic treatment was performed. Bouveret’s syndrome is a gastric outlet obstruction due to gallstone impaction within the duodenum. It is the least frequent presentation of gallstone ileus. Gallstone ileus is a complication of cholelithiasis and has a high morbidity and mortality. Therefore, it requires an early diagn...

DESCRIPTION A healthy 78-year-old man was admitted with a 3-day history of epigastric pain and bilious vomiting. Ultrasound revealed cholelithiasis with a normal calibre common bile duct. The patient subsequently underwent an upper gastrointestinal endoscopy which demonstrated a large duodenal defect consistent with an entero-biliary fistula (figure 1). Abdominal CT demonstrated small bowel dil...

UNLABELLED INTRODUCTION Gallstone ileus is a rare cause of bowel obstruction and results from the passage of gallstones into the bowel. CASE PRESENTATION We present the case of an 83-year-old Caucasian woman who had three episodes of gallstone ileus, each of which was managed with simple enterotomy. This sequence is one of the first reported in the medical literature and may be seen to cha...