The laparoscopic treatment of gallstone ileus

: The laparoscopic approach to abdominal emergencies, including bowel obstruction, has recently become more prevalent. A gallstone, entering the bowel through a cholecysto-enteric fistula, is a rare cause of bowel obstruction. The laparoscopic management of gallstone ileus has been described, but mostly as a laproscopic-assisted procedure, with a limited abdominal incision to treat the obstructed bowel. We describe a case in which we used a totally laparoscopic approach to treat gallstone ileus.