Recurrent gallstone ileus due to a residual gallstone: A case report and literature review

Highlights • Recurrence should be considered in all patients with gallstone ileus. • A review of pre-operative imaging and meticulous inspection of the bowel and gallbladder should always be undertaken. • Faceted gallstones should alert the surgeon to the potential presence of a second stone. • Cholecystolithotomy should be considered as a safer alternative to cholecystectomy with fistula repair in high risk patients.