1.Common early symptoms can include abdominal distension, bloating, as well as abdominal or pelvic pain, which can come from an ovarian torsion - where the ovary gets twisted.
2.Signs and symptoms of gallstone ileus include abdominal distension from the blockage, as well as nausea and vomiting, and a history of recurrent right upper quadrant pain, which is consistent with the repeated inflammation of chronic cholecystitis.