[Difficulties in diagnostic of biliary ileus]

Gallstone ileus is a rare disease which can be life-threatening because of misdiagnosis preoperatively. The authors analyze the clinical observations about two women where, because of associated diseases, delayed in presentation to the hospital, volume depleted electrolyte abnormalities and, not in the last place, because of lack in accuracy of paraclinical investigations, the diagnosis was mad only intraoperatively.

The appearance of clinical setting of high intestinal obstruction in associating with extra-kidney azotemy in female patients with gallstone in their history and no previous abdominal operations must we make to thinking about gallstone ileus.