title: Gallstone ileus--an atypical presentation and unusual location.
abstract: Gallstone ileus is an uncommon cause of small bowel obstruction and is rarely suspected preoperatively. Patients are usually elderly and present with features of small bowel obstruction. Commonest site of impaction of the gallstone is the terminal ileum. We report a case of gallstone ileus in a 37-year-old female who presented with vomiting and anuria, and without any symptoms of intestinal obstruction. Intraoperatively the gallstone was found impacted at the duodeno-jejunal flexure. Impaction of gallstone at the duodeno-jejunal flexure is yet to be reported in literature.
authors.affiliation: Department of General Surgery, R.G. Kar Medical College and Hospital, Kshudiram Bose Sarani, Kolkata, West Bengal, India.
authors.forename: Shamita
authors.initials: S
authors.lastname: Chatterjee
authors.forename: Tamonas
authors.initials: T
authors.lastname: Chaudhuri
authors.forename: Goutam
authors.initials: G
authors.lastname: Ghosh
authors.forename: Ambar
authors.initials: A
authors.lastname: Ganguly
mesh_terms: D000328:Adult; D016154:Digestive System Fistula / Q000209:etiology / Q000601:surgery; D013505:Digestive System Surgical Procedures; D004378:Duodenal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D005705:Gallbladder Diseases / Q000209:etiology / Q000601:surgery; D042882:Gallstones / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery