Recurrent gallstone ileus: case report and literature review.

Il Giornale di chirurgia

PubMedID: 23463931

Pronio A, Piroli S, Caporilli D, Ciamberlano B, Coluzzi M, Castellucci G, Vestri A, Pitasi F, Montesani C. Recurrent gallstone ileus: case report and literature review. G Chir. 2013;34(1-2):35-7.
The gallstone ileus is a rare complication of cholelithiasis and it represents the 1-4% of small intestinal mechanical obstruction. Gallstone is generally wedged in the terminal ileum, even if unusual locations have been described. The literature reports a very high morbidity and mortality, often because misdiagnosis or delayed diagnosis. There is no unique opinion in literature about the choice between one-stage and two-stage surgery. We report a clinical case that summarizes the diagnostic and therapeutic difficulties of gallstone ileus.