Lintao Chen,1,2 Yu Zhang,1 Zhaoqing Du1,3 

1Department of Hepatobiliary Surgery, Shaanxi Provincial People’s Hospital, Xi’an, Shaanxi Province, 710068, People’s Republic of China; 2XiZanng MinZu University, Xianyang, Shaanxi Province, 712082, People’s Republic of China; 3National Engineering Research Center for Miniaturized Detection Systems, College of Life Science, Northwest University of Xi’an, Xi’an, Shaanxi Province, 710069, People’s Republic of China

Correspondence: Zhaoqing Du, Department of Hepatobiliary Surgery, Shaanxi Provincial People’s Hospital, Xi’an, Shaanxi, 710068, People’s Republic of China, Tel/Fax +86 029 85251331, Email duzhaoqing2007@126.com

Abstract: Gallstone ileus (GI) occurs due to the migration of gallstones into the intestinal tract through a bilioenteric fistula. The surgical approach may vary based on the size and location of the fistula causing obstruction. We present a case of recurrent calculous cholecystitis with acute abdominal pain and vomiting, which was attributed to an uncommon giant gallstone located at the distal end of the duodenum. Our management involved performing a one-stage enterolithotomy, cholecystectomy, and fistula repair. The patient had an uneventful postoperative recovery without any complications such as duodenal leakage.

Keywords: gallstone ileus, surgery, cholecystoduodenal fistula, Bouveret syndrome, case report