[A successfully treated gall stone ileus in a patient 91 years old. Pathophysiology and clinical aspects]

The - at least to our knowledge - oldest surviving patient with gall stone ileus is reported, pertinent data concerning clinical symptoms, pathogenesis, pathophysiology and therapy discussed. In establishing the diagnosis, the analysis of previous diseases is helpful, a changing clinical course typical, air in the biliary tract upon plain X-ray a proof. Diagnosis means immediate operation, which alone may interrupt a fatal pathophysiologic chain reaction.