Gallstone ileus: A possible cause of bowel obstruction in the elderly population.

Introduction: Gallstone ileus (GI) is characterized by a mechanical occlusion of the ileal lumen as a result of migration of one or more gallstones in the intestinal tract. Less than 1-4% of all cases of intestinal obstruction are derived from this etiology (1,2,3).

Case Report: We present a case of small intestinal obstruction owing to a large gallstone in lower ileum in a 66 years old woman.

Umbilical metastasis mimicking symptomatic hernia: Report of a case of Sister Mary Joseph Syndrome.

Introduction: An umbilical mass can be the first symptom of an intra-abdominal neoplasia, and this condition is also defined as Sister Mary Joseph Syndrome.

Case Presentation: An eighty-year-old patient presented with a complicated umbilical hernia. CT scan abdomen revealed a pancreatic neoplasm and an umbilical biopsy confirmed diagnosis of metastasis.