Gallstone Ileus: A Case Report and Our Clinic’s Experience


We present a 72-year-old female patient complaining of pain and distention of the abdomen, nausea and vomiting. No history of previous abdominal surgery, hernias or biliary disease was present. Plain abdominal x-rays showed small bowel obstruction. This mechanical obstruction of the gastrointestinal truct was caused by a gallstone in the terminal ileum.


Gallstone Ileus

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K. Alexiou, A. Ioannidis, N. Sikalias, E. Konstantinidou, A. Fotopoulos, I. Karanikas and N. Economou, "Gallstone Ileus: A Case Report and Our Clinic’s Experience," Surgical Science, Vol. 5 No. 1, 2014, pp. 10-14. doi: 10.4236/ss.2014.51003.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] X.-Z. Dai, G.-Q. Li, F. Zhang, X.-H. Wang and C.-Y. Zhang, “Gallstone Ileus: Case Report and Literature Review,” World Journal of Gastroenterology, Vol. 19, No. 33, 2013, pp. 5586-5589.
[2] J. Norton, R. Bollinger, A. Chang, S. Lowry, S. Mulvihill, H. Pass and R. Thomposon, “Surgery—Basic Science and Clinical Evidence,” Springer, New York, 2009.
[3] R. Hermosa, C. Cazador, G. Vila, R. Garo, F. Francesch and A. Fernandez, “Gallstone Ileus: Results of Analysis of a Series of 40 Patients,” Gastroenterology and Hepatology, Vol. 24, No. 10, 2001, pp. 489-494.
[4] W. Hempfling, C. Rust, M. Sackmann, G. U. Muller, H. Arbogast and B. Goke, “Case Report,” Medizinische Klinik, Vol. 96, No. 12, 2001, pp. 735-739.
[5] F. Scarpa, J. Borges and D. Mullen, “Clinical Image,” The American Journal of Surgery, Vol. 180, 2000, p. 99.
[6] R. Grassi, A. Pinto, E. Rossi, G. Rossi, M. Scaglione and F. Lassandro, “9 Consecutive Patients with Gallstone Ileus. Personal Experience,” Radiologia Medica (Torino), Vol. 95, No. 3, 1998, pp. 177-181.
[7] R. M. Reisner and J. R. Cohen, “Gallstone Ileus: A Review of 1001 Reported Cases,” The American Surgeon, Vol. 60, No. 6, 1994, pp. 441-446.
[8] J. Hildebrandt, U. Herrmann and H. Diettrich, “Gallstone Ileus. A Report of 104 Cases,” Chirurgic, Vol. 61, No. 5, 1990, pp. 392-395.
[9] H. P. Grewal, N. J. Everitt and D. P. Fossard, “Gallstone ileus,” British Journal of Surgery, Vol. 78, No. 3, 1991, p. 378.
[10] P. A. Clavien, J. Richon, S. Burgan and A. Rohner, “Gallstone Ileus,” British Journal of Surgery, Vol. 77, No. 7, 1990, pp. 737-742.
[11] L. G. Rigler, C. N. Borman and J. F. Noble, “Gallstone Obstruction: Pathogenesis and Roentgen Manifestations,” The Journal of the American Medical Association, Vol. 117, No. 21, 1941, pp. 1753-1759.
[12] E. J. Balthazar and L. S. Chechter, “Air in Gallbladder: A Frequent Finding in Gallstone Ileus,” American Journal of Roentgenology, Vol. 131, No. 2, 1978, pp. 219-222.
[13] Y. Kasahara, H. Umemura, S. Shiraha, T. Kuyama, K. Sakata and H. Kubota, ?Gallstone Ileus: Review of 112 Patients in the Japanese Literature,” The American Journal of Surgery, Vol. 140, No. 3, 1980, pp. 437-440.
[14] O. H. Piedad and P. B. Wels, “Spontaneous Internal Biliary Fistula, Obstructive and Non-Obstructive Types,” Annals of Surgery, Vol. 175, No. 1, 1972, pp. 75-80.
[15] S. D. Berliner and L. C. Burson, “One-Stage Repair for Cholecystoduodenal Fistula and Gallstone Ileus,” Archives of Surgery, Vol. 90, No. 2, 1965, pp. 313-316. 1965.01320080137028
[16] P. A. Bossart, A. H. Patterson and H. A. Zintie, “Carcinoma of the Gallbladder,” The American Journal of Surgery, Vol. 103, 1962, pp. 361-364.

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