title: An unforgettable concurrence: Successfully managed gallstone ileus accompanied by diabetic nephropathy.
abstract: BACKGROUND
  Gallstone ileus is an uncommon complication of gall stones associated with potentially serious morbidity and mortality.
  
  
  METHODS
  We reported a 60-year-old male case who presented with renal failure and pain in right hypochondriac region. He also had a history of brain infarcts along with diabetes which is an additional factor for mortality. On Computed Tomography of the abdomen, he was diagnosed to have cholecystocholedochal fistula including air in the gall bladder and obstruction in the distal part of the ileum. Computed tomography plays an important role to make the proper diagnosis and in treatment.
  
  
  CONCLUSIONS
  As in our case, diagnosis was challengeable because of renal failure,diabetes, septicaemia and intestinal obstruction (peritonitis). We did surgery on the basis of peritonitis which remains the only choice in such cases. In follow- up of 1 month patient was doing well and asymptomatic.
authors.affiliation: Associate Professor, Department of Surgery, Maharishi Markandeshwer Institute of Medical Sciences and Research, Mullana, Distt-Ambala, Haryana, India.
authors.forename: Rikki
authors.initials: R
authors.lastname: Singal
authors.forename: Parveen
authors.initials: P
authors.lastname: Gupta
authors.forename: Sankalp
authors.initials: S
authors.lastname: Dwivedi
authors.forename: Amit
authors.initials: A
authors.lastname: Mittal
authors.forename: Sudha
authors.initials: S
authors.lastname: Kohli
authors.forename: Samita
authors.initials: S
authors.lastname: Gupta