A Case Report on Gallstone Ileus: Rare Cause of Small Bowel Obstruction in an Elderly Patient
Asian Journal of Case Reports in Surgery · pp. 246–250 · Published 9 Apr 2026
10.9734/ajcrs/2026/v9i1770Abstract
Gallstone ileus is an uncommon but clinically significant cause of mechanical small bowel obstruction, particularly among elderly patients. It accounts for approximately 1–4% of all small bowel obstructions, yet may represent up to 25% of non-strangulated obstructions in individuals over 65 years of age. We report the case of a 68-year-old female who presented with features of intestinal obstruction secondary to gallstone impaction. Computed tomography revealed pneumobilia, a cholecystoduodenal fistula, and small small bowel obstruction consistent with gallstone ileus. The patient underwent timely surgical intervention with enterolithotomy, resulting in an uneventful recovery. This case highlights the importance of early diagnosis, appropriate surgical decision-making, and individualized management strategies in elderly patients.
Cited by 0
No indexed citations yet.
Related research
- Overview on Gallstone Ileus: An Update on Management — shares topic coverage
- A Rare Case of Gall Stone Ileus with Obstruction of Small Bowel — shares topic coverage
- Gallstone Ileus with Cholecystoduodenal Fistula: A Rare Cause of Small Bowel Obstruction — shares topic coverage
- Challenges of Malignant Small Bowel Obstruction – Results of a State Surgical Mortality Dataset — shares topic coverage
- Cocoon Syndrome (Primary Encapsulating Peritonitis): A Rare Cause of Mechanical Intestinal Obstruction — shares topic coverage
Article metrics
Real usage data collected on this platform.
0
Page views
0
PDF downloads
0
Outbound clicks
0
Citations
Views by country
Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".
No views recorded yet.
Traffic sources
Referring site, by host.
No traffic recorded yet.
Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.