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March 1963

Gallstone Ileus: A Report of 23 Cases

Author Affiliations

From The Department of Surgery, Meadowbrook Hospital, East Meadow, N.Y.

Arch Surg. 1963;86(3):504-511. doi:10.1001/archsurg.1963.01310090154029

Gallstone ileus can be defined as mechanical intestinal obstruction due to intraluminal occlusion of bowel by a biliary calculus.1 Although it was once thought to be a unique clinical entity, it is not so uncommon that the average surgeon has not observed at least one case.

Bartholin was the first to record a case of cholecystoenteric fistula with entrance of a gallstone into the intestinal tract, in a patient examined at autopsy in 1654.2 Courvoisier published the first article in 1890 in which he reported on 131 cases of gallstone ileus.3 It is interesting to note that the mortality in the 125 operations which were performed for this condition was 44%. Since that time comprehensive reviews of the literature and recorded additional cases,4-7 have augmented our understanding of this entity, as well as its proper management. It is the purpose of this report to review the

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