A case of complete intestinal obstruction caused by gastric stones in a patient from the highland area

In this case, we present a case of a 48-year-old male patient. The patient initially presented with upper abdominal discomfort, but lacked typical clinical features. As the disease progressed, the upper abdominal pain worsened and was accompanied by symptoms of nausea and vomiting. After admission, the patient received conservative treatment to manage the intestinal obstruction. After 9 days of treatment, the symptoms persisted and worsened, so an open exploratory surgery was performed to clarify the diagnosis and for further treatment. The diagnosis was confirmed intestinal obstruction caused by gastric stones during the operation. The patient recovered smoothly after the operation. This case was easily misdiagnosed as a lesion in the ileal region due to its lack of typical clinical and imaging features, which could have resulted in serious consequences.