COMPLETE small bowel obstruction due to gallstones is thought to be a comparatively uncommon surgical entity.1 Consequently, such cases have not been stressed in medical teaching. Since the literature indicates that 1.7 to 6.2% of all complete small bowel obstructions are due to gallstones,2 this situation seems paradoxical. During the past 5 years (1946-1951) there have been 217 cases of complete small bowel obstruction at the Buffalo General Hospital. Of the total number, eight cases have been due to gallstones. This represents a figure of 3.6% and is in accord with the literature.
In contrast to simple gallstone obstruction, cases of recurrence due to a second stone contained within the gall bladder at the time of initial surgery are rare.3 We have been able to locate only five such cases4 and wish to add the case herein described.
REPORT OF A CASE
Mrs. A. T., aged