Gallstone ileus

Abstract

Gall stone ileus is complication of cholithiasis. It is rare and seen in aged patients diagnosed as cholelithiasis with co morbidities. High index of suspicion is necessary for arriving at a clinical diagnosis. Contrast enhanced computed tomography is diagnostic. Enterolithotomy followed by closure of the fistula with cholecystectomy as a two staged procedure is the safest approach for managing gall stone ileus.