Gallbladder
Miscellaneous nontumor
Gallstone ileus


Topic Completed: 1 September 2012

Revised: 15 February 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed Search: Gallstone ileus[TI] free full text[sb]
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Cite this page: Gulwani H Gallstone ileus. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/gallbladdergallstoneileus.html. Accessed March 21st, 2019.
Definition / general
  • Bowel obstruction due to gallstone entering intestine through cholecystoenteric fistula
  • Occurs in 20% of cases of gallstones passing into intestine
  • Usually single stones, 3 - 4 cm
  • Involves distal ileum (65 - 80%), also jejunum (20%), colon (3%), rarely appendix
  • Gallbladder usually small, fibrotic with adhesions
Case reports
Differential diagnosis
  • Enterolith: bile acid stones that form in situ within the bowel
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