Gallstone ileus: a rare case of distal jejunal obstruction


  • Sajeed Ahmed Department of General Surgery, Assam Medical College & Hospital, Dibrugarh, Assam
  • Tamajyoti Ghosh Department of General Surgery, Assam Medical College & Hospital, Dibrugarh, Assam



Gallstone ileus, small bowel obstruction, Rigler’s triad


Gallstone ileus as a cause of distal jejunal obstruction is rare. Herein we present a case of gallstone ileus without any previous biliary symptoms and with Rigler’s triad on radiological investigation. As the signs and symptoms of gallstone ileus is nonspecific high index of suspicion is necessary to make a diagnosis of gallstone ileus. One staged cholecystectomy, fistula repair and enterolithotomy was done and patient recovered uneventfully.


Tavakkoli A, Ashley SW, Zinner MJ. Small Intestine, Schwartz's Principle of Surgery 10th e chapter 28, 1146.

Conlon Kevin, Bailey and Love's Short Practice of Surgery, The Gallbladder and bile ducts chapter 67, 1107-1183.

Reisner RM, Cohen JR. Gallstone ileus: A review of 1001 cases, AM Surg. 1994;60(6):441-6.

Blumgart Leslie H. Inflammatory, Infective, and Congenital A. Gallstones and Gallbladder Blumgart's Surgery of Liver, Biliary tract and Pancreas 5th ed, 649-651.

Clavien PA, et al. Gallstone ileus. Br J Surg. 1990;77:737-42.

Borman CN, Nole JF. Gallstone Obstruction Pathogenesis and Roentgen Manifestation. The Journal of the American Medical Asso, Chicago. 1941;117:1753-9.

Doko M, Zovak M, Koplijar M, Glavan E, Ljubicic N, Hochstadter H. Comparison of surgical treatments of gallstone ileus: preliminary report. World Journal of Surg. 2003;27:400-4.