Gall stone ileus in the absence of gall bladder: a case report

Meenu Beniwal, Vikram Singh, Poonam ., Paritev Singh


Post cholecystectomy gall stone ileus is very rare with only few cases reported in the literature. This condition poses diagnostic challenges both because of its rarity and since the gall bladder had been removed previously. A high index of suspicion is needed for the diagnosis. Here, we report the case of a young female presented to the emergency room with acute intestinal obstruction. Patient underwent cholecystectomy followed by LSCS 20 yrs back. Patient was managed with explorative laparotomy which revealed an adherent, fibrosed and narrow segment of ileum containing a small impacted gall stone 120 cm from ileocaecal junction. Following the Resection anastomosis the patient made a satisfactory recovery and was discharged without any complication and is doing well.


Gall stone, Cholecystectomy, LSCS

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Deitz DM, Standage BA, Pinson CW, McConnell DB, Krippaehne WW. Improving the outcome in gallstone ileus. Am J Surg. 1986;151:572-6.

Clavien PA, Richon J, Burgan S, Rohner A. Gallstone ileus. Br J Surg. 1990;77:737-42.

Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg. 1994; 60:441-6.

Singhal BM, Kaval S, Kumar P, Singh CP. Enterolithiasis: An unusual cause of small intestinal obstruction. Arch Int Surg. 2013;3:137-41.

Batra RK, Sandhu NS. Jejunal diverticulosis with enterolith- presenting as acute intestinal obstruction. Indian J Surg. 2005;67:219–21.

Gurvits GE, Lan G. Enterolithiasis. World J Gastroenterol. 2014;20:17819-29.

Grettve S. A contribution to the knowledge of primary true concrements in the small bowel. Acta Chir Scand. 1947;95:387-410.

Taylor-young HS, Morrison MC. Report of a case of intestinal obstruction due to renal calculus. Br J Surg. 1959;46:417-8.

Atwell JD, Pollock AV. Intestinal calculi. Br J Surg. 1960;47:367-74.

Zens T, Liebl RS. Gallstone ileus 30 years status postcholecystectomy. WMJ. 2010; 109:332–4.

Teelucksingh S, Boppana LKT, Goli S, Naraynsingh. Gallstone ileus 1 year after cholecystectomy. JSCR. 2018;2018:7.

Jones RP, McWhirter D. Intermittent small bowel obstruction caused by Meckel’s enterolith. Ann R Coll Surg Engl. 2010;92:16-7.