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BACKGROUND:?Gallstone ileus remains a rare but important cause of intestinal obstruction. METHOD:?We present a unique case of two gallstones causing intestinal obstruction at the same time. RESULTS:?A 90-year-old lady presented with signs and symptoms of small bowel obstruction. At operation, two gallstones stuck at different points within the bowel were causing the obstruction and were removed. CONCLUSION:?When operating on patients with small bowel obstruction from gallstone ileus, examination of the entire small bowel should be considered mandatory.