eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-04-15 3 5 126 129 10.12691/ajmcr-3-5-2 AJMCR2015352 article Christos Konstantinidis drchriskons@yahoo.gr 1 Aleksandros Hamzin 1 Ioannis Stefanidis 1 Surgical Department, Hippocratio General Hospital of Athens, Athens 11527, Region of Attica, Greece A 64 years-old female patientreferred to our hospital for further treatmentof gallstone ileusdiagnosed at another hospital. She had a past medical history of thyroidectomy and mild heart failure. After four days of conservative treatment she underwent scheduled laparotomy with enterolithotomy and stone extraction. Although the operation was uneventful, immediately after that in the recovery room the patient presented severe ARDS with pulmonal edema and acute renal failure. The patientdeceased two days later. http://pubs.sciepub.com/ajmcr/3/5/2/ajmcr-3-5-2.pdf gallstone ileus enterolithotomy cholelithiasis Rigler's triad pneumobilia