Gallstone Ileus: An Improbable Cause of Mechanical Small Bowel Obstruction

Gallstone Ileus Caused by Migration of Gallstone Through Cholecystoduodenal Fistula Resulting in Small Bowel Obstruction

“…Gallstone ileus, a rare condition complicating 0.3%-0.5% of cases of cholelithiasis with a female-to-male ratio of 3.5 to 1, was first described by Bartholin in 1654 during an autopsy [ 3 , 5 ]. Gallstone ileus is a mechanical obstruction caused by a gallstone entering the GI tract through a fistula, often due to acute or chronic cholecystitis.…”

“…The symptoms can be nonspecific and intermittent, leading to delayed diagnosis and high morbidity and mortality rates. Therefore, it is crucial to maintain a high level of suspicion for prompt identification and treatment of gallstone ileus [ 2 , 3 , 4 ]. In this case report, we describe an elderly female who developed small bowel obstruction due to a gallstone that migrated from the gallbladder through a cholecystoduodenal fistula.…”

Gallstone ileus: the importance of individualized management

“…Since its first description in 1654 by Thomas Bartolin, gallstone ileus (GI) has been a recurrently reported surgical pathology. 1 Its incidence indicates that it is not so infrequent, the etiology being 25% of mechanical intestinal occlusions in patients older than 65 years and 1-3% in the general population (3.5:1 more common in women). 2 Additionally, patients with gallstones larger than 2.5 cm are at increased risk of developing GI.…”