Large bowel obstruction due to impaction of a gallstone

Gallstone ileus is a complication of cholelithiasis resulting from a fistula between the gallbladder and the gastrointestinal tract. If sufficiently large, a gallstone may lodge at the narrowest part of the gastrointestinal tract, usually the terminal ileum, and present with small bowel obstruction....

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Bibliographic Details
Published in:BMJ case reports 2012-02, Vol.2012 (feb07 1), p.bcr1120115100-bcr1120115100
Main Authors: Athwal, Tejinderjit Singh, Howard, Nicholas, Belfield, Jane, Gur, Ufuk
Format: Article
Language:English
Subjects:
80 Years
Abdomen
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy
Colon
Constipation
Diagnosis, Differential
Europe (West)
Fistula
Gallbladder
Gallstones
Gallstones - complications
Gallstones - surgery
Humans
Intestinal obstruction
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Laparoscopy
Laparotomy
Male
Medical imaging
Morbidity
Mortality
Patients
Radiography, Abdominal
Small intestine
Tomography, X-Ray Computed
Unusual Presentation of More Common Disease/Injury
White
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Summary:Gallstone ileus is a complication of cholelithiasis resulting from a fistula between the gallbladder and the gastrointestinal tract. If sufficiently large, a gallstone may lodge at the narrowest part of the gastrointestinal tract, usually the terminal ileum, and present with small bowel obstruction. Here the authors present the unusual case of an 82-year-old man who developed symptoms and signs of large bowel obstruction due to an untreated gallstone, measuring 7×4.5 cm, that fistulated into the transvere colon and subsequently impacted in the sigmoid colon. An emergency laparotomy with sigmoid colotomy was undertaken to remove the obstructing gallstone, and the patient made a full recovery.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.11.2011.5100