September 17, 2025Open Access

Twin-Stone syndrome: A rare presentation of gallstone ileus

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Case report details a complex gallstone ileus with cholecystoenteric fistula, highlighting surgical challenges.

The patient, a 61-year-old female, encountered a closed-loop obstruction due to multiple impacted gallstones.
Surgical management included enterotomy and gallbladder removal, leading to a successful recovery with notable post-operative atrial fibrillation.
Gallstone ileus, particularly with fistula formation, presents unique challenges and necessitates tailored surgical approaches.
This case emphasizes the intricate management of Twin-Stone syndrome in patients with mechanical bowel obstruction.

Hess et al. (2025) studied this question.

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