Article ; Online: Like a Rolling (Gall)Stone: Optimal Treatment of Gallstone Obstruction of the Sigmoid Colon.
Digestive diseases and sciences
2024 Volume 69, Issue 5, Page(s) 1593–1601
Abstract: Background: Sigmoid gallstone ileus is a rare complication of cholelithiasis, accounting for 1-4% of all cases of large-bowel obstruction. This is a highly morbid, and often fatal, condition due to its challenging diagnosis and late presentation.: ... ...
| Abstract | Background: Sigmoid gallstone ileus is a rare complication of cholelithiasis, accounting for 1-4% of all cases of large-bowel obstruction. This is a highly morbid, and often fatal, condition due to its challenging diagnosis and late presentation. Case presentation: We report a case of a 90-year-old woman admitted to Emergency Department with abdominal pain and large-bowel obstruction due to a 6 cm gallstone lodged in a diverticulum of the proximal sigmoid colon as a consequence of a cholecysto-colonic fistula. Colonoscopy was deferred due to gallstone size carrying a high possibility of failure. The patient underwent urgent laparotomy with gallstone removal via colotomy. The cholecystocolonic fistula was left untreated. The post-operative course was uneventful; the patient was discharged on 6th post-operative day. Conclusion: A multidisciplinary discussion between endoscopists and surgeons is often needed to choose the best therapeutic option, especially in high-risk patients. |
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| MeSH term(s) | Humans ; Female ; Aged, 80 and over ; Gallstones/complications ; Gallstones/surgery ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Sigmoid Diseases/surgery ; Sigmoid Diseases/etiology ; Sigmoid Diseases/complications ; Colon, Sigmoid/surgery ; Colon, Sigmoid/diagnostic imaging ; Colon, Sigmoid/pathology ; Intestinal Fistula/surgery ; Intestinal Fistula/diagnostic imaging ; Intestinal Fistula/complications | |||||
| Language | English | |||||
| Publishing date | 2024-03-11 | |||||
| Publishing country | United States | |||||
| Document type | Case Reports ; Journal Article | |||||
| ZDB-ID | 304250-9 | |||||
| ISSN | 1573-2568 ; 0163-2116 | |||||
| ISSN (online) | 1573-2568 | |||||
| ISSN | 0163-2116 | |||||
| DOI | 10.1007/s10620-024-08328-6 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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