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Gallstone Ileus in Cipto Mangunkusumo General Hospital, Jakarta: A Case Series

Introduction . Gallstone ileus is an uncommon mechanical bowel obstruction caused by gallstone in gastrointestinal tract which enter due to bileo-enteric  fistulae. We report two gallstone ileus cases at Cipto Mangunkusumo General Hospital, Jakarta which admitted in the last 20 years. This study aims to describe gallstone ileus and its management.  Method . Data were retrospectively collected from medical records in the last 20 years. Result . The first case was a woman 33 years in 2002 and the second was man 45 years in 2017. Ileus was main clinical symptoms. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected. Gallstone ileus was diagnosed pre operatively based on clinical and radiology findings. Laparotomy was performed and ileostomy for stones evacuation and cholecystectomy were performed without bileo-enteric  fistula repair . Large black stones were found at terminal ileum which made the obstruction.  Conclusion . Gallstone ileus was uncommon disease which can be treated and has good prognosis.