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HPB Surgery
Volume 2010, Article ID 153740, 3 pages
http://dx.doi.org/10.1155/2010/153740
Case Report

Gallstone Ileus of the Sigmoid Colon: An Unusual Cause of Large-Bowel Obstruction

1Department of Surgery, Stepping Hill Hospital, Stockport, Manchester SK2 7JE, UK
2Department of Radiology, Stepping Hill Hospital, Stockport, Manchester SK2 7JE, UK

Received 12 August 2009; Accepted 21 March 2010

Academic Editor: Guntars Pupelis

Copyright © 2010 Nadir Osman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Gallstone ileus of the colon is an exceedingly rare cause of large-bowel obstruction. It is usually the result of fistula formation between the gallbladder and large bowel facilitating entry of the stone into gastrointestinal tract. Contrast enhanced abdominal computed tomography is an important diagnostic aid. Surgical management is the treatment of choice to prevent the disastrous complications of large-bowel obstruction. We describe the case of a 92-year-old man who presented with symptoms and signs of large-bowel obstruction. Radiological investigation showed a large gallstone impacted in the sigmoid colon. Open enterolithotomy was undertaken relieving the obstruction and the patient made a full recovery.