Double gallstone ileus.
BACKGROUND
Gallstone ileus remains a rare but important cause of intestinal obstruction.


METHODS
We present a unique case of two gallstones causing intestinal obstruction at the same time.


RESULTS
A 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.


CONCLUSIONS
When operating on patients with small bowel obstruction from gallstone ileus, examination of the entire small bowel should be considered mandatory.
Khan
Aamir Z
AZ
Department of Surgery, East Surrey Hospital, Canada Avenue, Redhill, Surrey, RH1 5RH, UK. aamirzkhan@yahoo.com
Nariculum
Joe
J
Andreani
Stefano M
SM
Stacey-Clear
Adam
A
D000369:Aged, 80 and over; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome