DOI: 10.36347/sjmcr.2015.v03i06.024

Pages: 527-529

Gallstone ileus is an esoteric cause of mechanical small bowel obstruction, usually seen in chronic cases of gallstones. Elderly age group presentation and the adjoining delayed diagnosis of the disease explains it`s high morbidity and mortality rates. We report a case of 66 year old female who presented to us with small bowel obstruction. Radiological findings were aiming at this rare entity, and were confirmed on laparotomy. Enterolithotomy was done and a second stage procedure to take down cholecystoenteric fistula was planned. Though uncommon in existence, Gallstone ileus presents as a challenge in management, surgical community still divided over it`s one stage or two stage management.