• Hepatob Pancreat Dis · Aug 2008

    Case Reports

    Double gallstone ileus.

    • Aamir Z Khan, Joe Nariculum, Stefano M Andreani, and Adam Stacey-Clear.
    • Department of Surgery, East Surrey Hospital, Canada Avenue, Redhill, Surrey, RH1 5RH, UK. aamirzkhan@yahoo.com
    • Hepatob Pancreat Dis. 2008 Aug 1;7(4):437-9.

    BackgroundGallstone ileus remains a rare but important cause of intestinal obstruction.MethodWe present a unique case of two gallstones causing intestinal obstruction at the same time.ResultsA 90-year-old lady presented with signs and symptoms of small bowel obstruction. At operation, two gallstones stuck at different points within the bowel were causing the obstruction and were removed.ConclusionWhen operating on patients with small bowel obstruction from gallstone ileus, examination of the entire small bowel should be considered mandatory.

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