Gallstone ileus is a mechanical intestinal obstruction caused by impaction of one or more gallstones within the bowel lumen. It is a continuing surgical problem and occurs mainly in the elderly. Preoperative diagnosis depends upon x-ray film findings of distended loops of bowel, air in the biliary tract, and a stone in the intestine. The prime objective of gallstone ileus treatment is surgical relief of the obstruction. However, under optimum conditions, a one-stage repair of the associated biliary tract disease should be done. The syndrome is reviewed and four new cases illustrative of the various means of treatment are presented.
Hudspeth AS, McGuirt WF. Gallstone IleusA Continuing Surgical Problem. Arch Surg. 1970;100(6):668-672. doi:10.1001/archsurg.1970.01340240036007