Introduction: Gallstone ileus and synchronous two carcinoids of small bowel, both pathologies have no known pathological reasons to be associated with each other and are not known to be together in one patient.
Case Report: We present a case of a 72-year-old lady who presented with small bowel obstruction as an emergency. At laparotomy we found gall stones entrapped between two carcinoid strictures in ileum. Segmental small bowel resection was performed without disturbing the biliary pathology.
Conclusion: Association of these two pathologies in a single patient causing small bowel obstruction has never been reported. Importance of a thorough laparotomy is emphasized.
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