Laparoscopic Approach in the Management of Gallstone Ileus: About a Case

Ben Lahsen Mohamed*, Sekkat Hamza, Bakali Younes, Sabbah Farid, Raiss Mohamed, Mouna Alaoui and Hrora Abdelmalek

Department of General Surgery, Ibn Sina University Hospital, Rabat, Morocco

^*Correspondance to: Ben Lahsen Mohamed 

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Abstract:

Introduction: Gallstone ileus is an uncommon cause of mechanical intestinal obstruction, resulting from the impaction of a biliary stone through a bilio-digestive fistula. It primarily affects elderly patients and is extremely rare in young adults. Case Report: We report the case of a 40-year-old male admitted to the emergency department of Ibn Sina University Hospital in Rabat with small bowel obstruction. Abdominal CT scan revealed pneumobilia and a hyperdense lithiasis in the terminal ileum. After preoperative resuscitation, surgical exploration confirmed an impacted gallstone. Laparoscopic approach with enterolithotomy allowed its extraction. Postoperative recovery was uneventful. Conclusion: Gallstone ileus in young patients is rare. CT imaging remains the gold standard for diagnosis. Surgical management should be minimally invasive, with simple enterolithotomy being the safest option in emergencies.

Keywords:

Gallstone ileus, Bilio-digestive fistula, Enterolithotomy, Intestinal obstruction, Emergency surgery

Cite the Article:

Mohamed BL, Hamza S, Younes B, Farid S, Mohamed R, Alaoui M, et al. Laparoscopic Approach in the Management of Gallstone Ileus: About a Case. Ann Clin Case Rep. 2025; 10: 2808..