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Gallstone ileus of the sigmoid colon: an extremely rare cause of large bowel obstruction detected by multiplanar CT.
BMJ Case Rep. 2015 Dec 18; 2015BC

Abstract

Gallstone ileus of the sigmoid colon is an important, though extremely rare, cause of large bowel obstruction. The gallstone often enters the large bowel through a fistula formation between the gallbladder and colon, and impacts at a point of narrowing, causing large bowel obstruction. We describe the case of an 80-year-old woman who presented with features of bowel obstruction. Multiplanar abdominal CT demonstrated a cholecystocolonic fistula in exquisite detail. The scan also showed obstruction of the colon due to a large gallstone impacted just proximal to a stricture in the sigmoid. Owing to inflammatory adhesions and a stricture from extensive diverticular disease, the gallstone could not be retrieved. This frail and elderly woman was treated with a loop colostomy to relieve bowel obstruction. The patient made an uneventful recovery.

Authors+Show Affiliations

North Bristol Trust, Southmead Hospital, Bristol, UK.North Bristol Trust, Southmead Hospital, Bristol, UK.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26682834

Citation

Carlsson, Tarryn, and Sanjay Gandhi. "Gallstone Ileus of the Sigmoid Colon: an Extremely Rare Cause of Large Bowel Obstruction Detected By Multiplanar CT." BMJ Case Reports, vol. 2015, 2015.
Carlsson T, Gandhi S. Gallstone ileus of the sigmoid colon: an extremely rare cause of large bowel obstruction detected by multiplanar CT. BMJ Case Rep. 2015;2015.
Carlsson, T., & Gandhi, S. (2015). Gallstone ileus of the sigmoid colon: an extremely rare cause of large bowel obstruction detected by multiplanar CT. BMJ Case Reports, 2015. https://doi.org/10.1136/bcr-2015-209654
Carlsson T, Gandhi S. Gallstone Ileus of the Sigmoid Colon: an Extremely Rare Cause of Large Bowel Obstruction Detected By Multiplanar CT. BMJ Case Rep. 2015 Dec 18;2015 PubMed PMID: 26682834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gallstone ileus of the sigmoid colon: an extremely rare cause of large bowel obstruction detected by multiplanar CT. AU - Carlsson,Tarryn, AU - Gandhi,Sanjay, Y1 - 2015/12/18/ PY - 2015/12/20/entrez PY - 2015/12/20/pubmed PY - 2016/9/22/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2015 N2 - Gallstone ileus of the sigmoid colon is an important, though extremely rare, cause of large bowel obstruction. The gallstone often enters the large bowel through a fistula formation between the gallbladder and colon, and impacts at a point of narrowing, causing large bowel obstruction. We describe the case of an 80-year-old woman who presented with features of bowel obstruction. Multiplanar abdominal CT demonstrated a cholecystocolonic fistula in exquisite detail. The scan also showed obstruction of the colon due to a large gallstone impacted just proximal to a stricture in the sigmoid. Owing to inflammatory adhesions and a stricture from extensive diverticular disease, the gallstone could not be retrieved. This frail and elderly woman was treated with a loop colostomy to relieve bowel obstruction. The patient made an uneventful recovery. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/26682834/Gallstone_ileus_of_the_sigmoid_colon:_an_extremely_rare_cause_of_large_bowel_obstruction_detected_by_multiplanar_CT_ DB - PRIME DP - Unbound Medicine ER -