Gallstone ileus

Case contributed by Yaïr Glick
Diagnosis certain


Abdominal distension, nausea, profuse vomiting; has not passed feces or gas for the past 6 days.

Patient Data

Age: 80 years
Gender: Male

VP shunt along right chest and abdominal wall, its tip in the pelvis.


Photos of the resected segment of small bowel containing the gallstones and of the gallstones themselves.

Case Discussion

Several large gallstones passed from the gallbladder into the proximal duodenum through a fistula created between them and caused small bowel obstruction, i.e. gallstone ileus.

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