Gallstone ileus: a rare case of distal jejunal obstruction

Abstract

Gallstone ileus as a cause of distal jejunal obstruction is rare. Herein we present a case of gallstone ileus without any previous biliary symptoms and with Rigler's triad on radiological investigation. As the signs and symptoms of gallstone ileus is nonspecific high index of suspicion is necessary to make a diagnosis of gallstone ileus. One staged cholecystectomy, fistula repair and enterolithotomy was done and patient recovered uneventfully.

Stone in the distal jejunum presenting as small bowel obstruction: A case report

“…Pre-operative diagnosis of gallstone ileus is difficult to make because of vague presentation, lack of specific diagnostic investigations and the rarity of disease. In 50% of the cases, diagnosis is made per-operatively [ 1 , 4 , 8 ]. The classical Rigler’s triad i.e.…”

“…The classical Rigler’s triad i.e. pneumobilia, intestinal obstruction, and, aberrant gallstone can only be found in 40–50 % of cases [ 1 , 4 , 8 ]. In our cases, we could not establish the diagnosis pre-operatively due to equivocal findings on investigations as reported in various studies [ 4 , 7 ].…”