Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 5 2015 04 15 Gallstone Ileus-A Case Report with Review of the Literature 126 129 EN Christos Konstantinidis Surgical Department, Hippocratio General Hospital of Athens, Athens 11527, Region of Attica, Greece Aleksandros Hamzin Ioannis Stefanidis AJMCR2015352 10.12691/ajmcr-3-5-2 2015 03 06 2015 03 16 2015 04 15 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.