The authors present a rare case of a 92- year old female patient with obstruction of the small intestine with adhesions between intestinal loops and a spontaneously separated gall bladder, located amongst them. The finding was successfully managed using lesion of the adhesions and removal of the gall bladder. No intestinal resection was required. No similar case has been reported, according to the literature data available to the authors.

        Key words: ileus – adhesion – gall bladder