Presentation
Elderly patient with vomiting, abdominal pain and peritonism. Increased inflammatory markers.
Patient Data
Age: 85
Gender: Unknown
From the case:
Gallstone ileus
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Small intestine dilatation with two large calcified gallstones in the distal ileum. There is peritoneal free fluid, pneumobilia with gas in the gallbladder.
Case Discussion
Gallstone ileus is an uncommon cause of mechanical small bowel obstructions (~2%).
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