Gallstone Ileus Presenting With Cholelith Emesis and an Incidental Benign Ovarian Fibroma: A Case Report

Paul Nderitu, Anantole Wiik, Midhat Siddiqui, Imran Chishti


Gallstone ileus (GI) is a rare but important cause of mechanical bowel obstruction associated with high levels of mortality. The classic radiological triad (Rigler’s triad) of pneumobilia, bowel obstruction and an aberrant gallstone is present in 40-50% of cases. The vomiting of gallstones, “cholelith emesis”, is a rare presentation of cholecystoduodenal fistula with bowel obstruction occurrence of which should prompt investigation for GI. Surgical management with enterolithotomy is the most common treatment option with fewer post-operative complications compared to one-stage procedures. We describe a case of GI in an elderly female patient presenting with cholelith emesis secondary to mid-ileal gallstone impaction and small bowel obstruction with an incidental large pelvic mass requiring emergency enterolithotomy.

J Curr Surg. 2015;5(1):137-139


Gallstones; Ileus; Cholelith emesis

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