Distal Followed by Proximal Gastrointestinal Obstruction Due to Gallstones

Gastrointestinal obstruction is a rare complication of gallstone disease. Stones can enter the gastrointestinal tract (GIT) via the biliary system or following episodes of calculous cholecystitis and formation of a cholecystoenteric fistula. Common sites of obstruction are the proximal and distal ileum or distal jejunum; however, duodenal or gastric obstruction is rare. Surgical removal via laparotomy and enterotomy is currently the treatment of choice. We present a case where two gallstone obstructions at different sites occurred during a single admission, which has not been previously reported in the literature, and highlight the use of minimally invasive techniques in the management of gallstone obstruction. J Med Cases. 2015;6(2):68-70 doi: http://dx.doi.org/10.14740/jmc2032e