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Management of a Large Bowel Obstruction Secondary to a 5cm Gallstone in a Rural Setting: A Case Report

Year: 2025

Type: article

Abstract: We present a case of a large bowel obstruction secondary to a large impacted gallstone measuring 5cm in the sigmoid colon. Significant features include a cholecysto-colonic fistula and the presence of a perforation initially missed on imaging. Endoscopic retrieval was attempted, followed by a Hartmann's procedure. This case highlights the significance of operative management in ensuring the safe treatment of colonic gallstone ileus, especially in a rural setting.

Source: Cureus

DOI: 10.7759/cureus.78475

Authors: Chenyi Mao, Jonathan Tiong, James Gallagher

Institutions: The Royal Melbourne Hospital, The University of Melbourne

Language: English

Topic: Biliary and Gastrointestinal Fistulas

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407141448

FWCI:

Cites: 8

Cited by:

Related to: 10