Gallstone ileus: Case report and literature review

Figure 1 Abdominal radiographs were normal.

Figure 2 Severe air-fluid level. A: Axial view of the upper abdomen demonstrates air in an intrahepatic bile duct (arrow); B: Axial view of the upper abdomen demonstrates an air in the gallbladder (arrow); C: Computed tomography demonstrating gallstones of approximately 5 cm in diameter (arrow) within the small bowel.

Figure 3 The gallstone was removed and the enterotomy repaired in two layers. A: Impacted stone (arrow) removed from the intestine; B: Gallstone measuring 3 cm × 4 cm × 5 cm.