Yeudiel Suro-Santos, Department of General Surgery, Instituto Mexicano del Seguro Social (IMSS), Unidad Hospital General de Zona 33, Universidad de Monterrey (UDEM), N.L., Monterrey, Mexico
Jorge A. Serrato-Ruíz, Department of General Surgery, Instituto Mexicano del Seguro Social (IMSS), Unidad Hospital General de Zona 33, Universidad de Monterrey (UDEM), N.L., Monterrey, Mexico
José E Fuentes-Hernández, Department of General Surgery, Instituto Mexicano del Seguro Social (IMSS), Unidad Hospital General de Zona 33, Universidad de Monterrey (UDEM), N.L., Monterrey, Mexico
Benjamín H. Macías-Landeros, Department of General Surgery, Instituto Mexicano del Seguro Social (IMSS), Unidad Hospital General de Zona 33, Universidad de Monterrey (UDEM), N.L., Monterrey, Mexico
Josué Chávez-Rodríguez, Department of General Surgery, Instituto Mexicano del Seguro Social (IMSS), Unidad Hospital General de Zona 33, Universidad de Monterrey (UDEM), N.L., Monterrey, Mexico

Biliary ileus is an uncommon cause of intestinal occlusion caused by the impaction of a biliary stone in the gastrointestinal tract. We present the case of a 69-year-old female with no comorbidities, with abdominal pain, constipation and vomiting of 6 days of evolution. Physical examination showed abdominal distension and diffuse abdominal pain on palpation. No laboratory alterations, except for elevated creatinine. A CT scan showed a hyperdense image in the intestine. An exploratory laparotomy and enterolithotomy were performed confirming suspected diagnosis of biliary ileus.

Keywords: Female, Gallstones/complications. Intestinal obstruction. Biliary fistula.