Although there has been report in the literature of successful conservative management of gallstone ileus (8), gallstone ileus is managed surgically.
Findings of a gallstone ileus is an absolute indication for surgery, though due to advances in technique, laparoscopic approaches to enterolithotomy and cholecystofistulectomy may be used by those sufficiently skilled.
Gallstone ileus and bowel perforation after endoscopic sphincterotomy.
Less common presentations and complications include the Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.
Gallstone ileus is an important, although rare, cause of mechanical intestinal obstruction with intermittent signs of nausea, vomiting, and abdominal pain.
Bouveret syndrome, in contrast to gallstone ileus, is characterized by the cephalad or proximal migration of a gallstone into the duodenum resulting in a persistent gastric outlet obstruction as originally described by the French surgeon Leon Bouveret in 1896.
of the sigmoid colon: an unusual cause of large-bowel obstruction.
Kasahara Y, Umemura H, Shiraha S, et al: Gallstone ileus
A history of prior biliary tract disease is present in almost half of the patients with gallstone ileus.
Because the clinical and radiological diagnosis of gallstone ileus is often difficult (3), the condition is associated with high rates of morbidity and mortality.