في الفيديو حاله طبيه هامه جدا ومشهوره تحدث بشكل شبه يومي في جميع اقسام الطوارئ وهو حصوات المراره الناتجه عن التهاب مزمن 

وكيفيه تاثيرها علي الامعاء وعلاقتها بالام البطن وكيفيه تشخيصها

 Gallstone ileus is more commonly seen in elderly patients with a history of gallstones and abdominal surgery. The condition requires prompt medical attention as it can lead to bowel perforation and peritonitis, a life-threatening infection.

 68-year-old woman comes to the emergency department due to a 2-day history of crampy abdominal pain and vomiting. The patient has had no hematemesis, melena, or hematochezia. She has a history of hypertension, type 2 diabetes mellitus, and coronary artery disease. Several months ago, the patient had an episode of acute calculous cholecystitis that was managed non-operatively. Physical examination shows a distended, tympanic abdomen with high-pitched bowel sounds. Abdominal x-ray reveals air in the gallbladder and biliary tree.

This patient's gallstone has most likely lodged in which of the following sites?

 Gallstone ileus is a rare but serious condition characterized by bowel obstruction caused by a large gallstone.

It occurs when a gallstone migrates from the gallbladder into the small intestine, usually through a fistula between the gallbladder and the gastrointestinal tract.