Introduction:

Gallstone ileus represents 4% of the causes of intestinal obstruction in the general population.

Objective:

To present a patient with intestinal obstruction due to gallstone ileus and who was diagnosed and treated during the intraoperative period.

Clinical case:

The is presented of a 78-year-old patient with an occlusive condition due to gallstone ileus, who underwent enterolithotomy as definitive management procedure.

Conclusions:

Gallstone ileus is a cause of intestinal occlusion that every general surgeon should be aware of in the presence of an elderly with clinical and imaging elements of occlusion and without previous surgical interventions or hernias of the abdominal wall.

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