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Case Reports
. 2017 Oct 10:2017:bcr2017220898.
doi: 10.1136/bcr-2017-220898.

Colonic gallstone ileus

Affiliations
Case Reports

Colonic gallstone ileus

Lee Sigmon et al. BMJ Case Rep. .

Abstract

Gallstone ileus is a rare aetiology of bowel obstruction and very infrequently occurs in the colon. Typically, colonic gallstone ileus carries a high morbidity and mortality and requires surgery. This case report describes a cholecystocolonic fistula in a patient with ulcerative colitis with resulting colonic gallstone ileus, which was successfully intervened on via an endoscopic approach.

Keywords: endoscopy; gastroenterology; ulcerative colitis.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Transverse plane view of colonic gallstone ileus in the sigmoid colon.
Figure 2
Figure 2
Coronal plane view of colonic gallstone ileus in the sigmoid colon.
Figure 3
Figure 3
Transverse plane view of large gallstone in the gallbladder 17 months prior to presentation.
Figure 4
Figure 4
Endoscopic image of the impacted gallstone in the sigmoid colon.
Figure 5
Figure 5
Endoscopic image of the impacted gallstone during attempted extraction.
Figure 6
Figure 6
Image of gallstone after endoscopic extraction from the colon.

References

    1. Clavien PA, Richon J, Burgan S, et al. Gallstone ileus. Br J Surg 1990;77:737–42. 10.1002/bjs.1800770707 - DOI - PubMed
    1. Garcia-López S, Sebastián JJ, Uribarrena R, et al. Successful endoscopic relief of large bowel obstruction in a case of a sigmoid colon gallstone ileus. J Clin Gastroenterol 1997;24:291–2. 10.1097/00004836-199706000-00029 - DOI - PubMed
    1. Lobo DN, Jobling JC, Balfour TW. Gallstone ileus: diagnostic pitfalls and therapeutic successes. J Clin Gastroenterol 2000;30:72–6. 10.1097/00004836-200001000-00014 - DOI - PubMed
    1. Reisner RM, Cohen JR. Gallstone ileus: a review of 1001 reported cases. Am Surg 1994;60:441–6. - PubMed
    1. Roberts SR, Chang C, Chapman T, et al. Colonoscopic removal of a gallstone obstructing the sigmoid colon. J Tenn Med Assoc 1990;83:18–19. - PubMed

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