Gallstone ileus complicating an asymptomatic gallstone disease : a case report.
Abstract
Gallstone ileus is caused by an impaction of one or more gallstones within the gastrointestinal tract leading to mechanical intestinal obstruction. It is a rare complication of cholelithiasis occuring mostly in the elderly female patient. Clinical presentation is non specific leading to a high mortality rate. Computed tomography has considerably improved the diagnostic yield and surgery remains the mainstay of management. We are reporting the case of a 78 years old female patient referred for persistent abdominal pains and vomiting associated to gallstone ileus, successfully managed by an enterolithotomy.