DOI: 10.36347/sasjs.2023.v09i06.003

Pages: 493-797

A gallstone ileus is a rare cause of intestinal obstruction, caused by the migration of a gallstone through an entero-biliary fistula and its impact in the digestive system, most often in the ileocecal valve. We report here the case of a 60-year-old woman who was admitted for a biliary ileus at the sigmoid level, which is an even rarer cause of intestinal obstruction. The fistula was located between the colon and the gallbladder. The gallstone was surgically removed by colotomy, without treating the fistula and afterwards. The follow-up was without complications. Surgical closure of an enterobiliary fistula is an option that should be considered, but it may result in higher morbidity. Therefore, we chose not to do it, especially considering that spontaneous fistula closure can occur.