title: Double gallstone ileus.
abstract: 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.
authors.affiliation: Department of Surgery, East Surrey Hospital, Canada Avenue, Redhill, Surrey, RH1 5RH, UK. aamirzkhan@yahoo.com
authors.forename: Aamir Z
authors.initials: AZ
authors.lastname: Khan
authors.forename: Joe
authors.initials: J
authors.lastname: Nariculum
authors.forename: Stefano M
authors.initials: SM
authors.lastname: Andreani
authors.forename: Adam
authors.initials: A
authors.lastname: Stacey-Clear
mesh_terms: 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