• Zeeshan Razzaq,

• Usman Ismat Butt

• Asad Ali Too

• Zeeshan Razzaq

• Muhammad Waris Farooka

• Shazia Noreen

• Abeeda Butt

• Henry Paul Redmond

• Asad Ali Toor

• Zeeshan Razzaq

• Muhammad Waris Farooka

• Shazia Noreen

• Abeeda Butt

• Henry Paul Redmond

Abstract

Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72–90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time. We are reporting a case of an 85-year-old gentleman who presented to us with gallstone ileus associated with cholecysto-duodenal fistula and his subsequent management. He underwent Laparotomy with enterotomy, stone extraction, Cholecystectomy and Graham’s patch repair of the fistula.The purpose of this case report is to discuss a rare case of gall stone ileus associated with cholecysto-duodenal fistula. The diagnosis was confirmed using imaging and appropriate and timely surgical intervention for both mechanical intestinal obstruction and the fistula was undertaken

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