Gallstone ileus. Report of two cases

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Erasmo Spaziani
Marcello Picchio
Annalisa Di Filippo
Francesco De Angelis
Giuseppe Marino
Franco Stagnitti


Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported.

We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal fistula.

Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.

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How to Cite
Spaziani, Erasmo, et al. “Gallstone Ileus. Report of Two Cases”. Annali Italiani Di Chirurgia, vol. 81, no. 1, Jan. 2010, pp. 53-55,
Case Report