DOI: 10.36347/sjmcr.2015.v03i06.012

Pages: 486-488

Gall stone ileus is an extremely rare cause of small intestinal obstruction accounting for only 1-4% case overall. The clinical presentation is variable, depends on the site of obstruction. It is manifested as acute, intermittent or chronic episodes. A 45 year old female was admitted to our emergency department with chief complains of obstipation and constipation since 12 days and had a history of similar complains 5 months back. At admission there were signs of intestinal obstruction, with X-ray showing multiple air fluid levels. Once stabilised laparotomy was performed and a palpable stone in terminal ileum with adhesion between gall bladder and first part of duodenum was seen. The postoperative course was uneventful. This one stage repair should be the first choice of treatment for well stabilised patient having good cardiopulmonary and metabolic reserve.