{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T21:58:34Z","timestamp":1771883914771,"version":"3.50.1"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Gallstone disease is one of the most common surgical problems necessitating intervention. It is estimated that approximately 15% of people in the western world will develop gallstones. Of these patients, 35% of patients initially diagnosed with gallstones will later develop a complication which will eventually result in cholecystectomy.2<\/jats:p>\n                    <jats:p>One of these complications is gallstone ileus, which is a rare complication associated with high morbidity and mortality, and the diagnosis is often missed.3<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>A 66 year old female presented with an acute onset of \u201ccolicky\u201d abdominal pain accompanied with vomiting. She had known gallstones diagnosed previously by ultrasound. Her abdomen was generally tender with guarding of the right hypochondrium and absent bowel sounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Gallstone ileus accounts for 0.5-4% of all cases of small bowel obstruction, and typically affects females over the age of 65.3,4 The pathophysiological basis of the disease involves fistulation of the gallstone through the wall of the gallbladder into the bowel, where it becomes impacted and leads to obstruction. Mortality of the condition is not sufficiently reported, but surgical intervention in itself conveys significant morbidity, and mortality has been reported to be 18%.3,9<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>We report a single large gallstone, which we believe to be one of the largest documented in recent literature, resulting in gallstone ileus. We also present a brief synopsis of the diagnosis and management of the condition, which although rare, should be considered by the astute surgical trainee.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2013.02.003","type":"journal-article","created":{"date-parts":[[2013,2,19]],"date-time":"2013-02-19T22:18:53Z","timestamp":1361312333000},"page":"473-476","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["A peculiar cause of bowel obstruction"],"prefix":"10.1097","volume":"4","author":[{"given":"A.","family":"Tucker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Garstin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-11-20260223","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1136\/bmj.39267.452257.AD","article-title":"Gallstones","volume":"11;335","author":"Sanders","year":"2007","journal-title":"British Medical Journal"},{"key":"R2-11-20260223","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1615\/JLongTermEffMedImplants.v15.i3.90","article-title":"Cholelithiasis and cholecystitis","volume":"15","author":"Schirmer","year":"2005","journal-title":"Journal of Long-Term Effects of Medical Implants"},{"key":"R4-11-20260223","first-page":"755","article-title":"Gallstone ileus: a case report and review of the literature","volume":"60","author":"Casparrini","year":"2008","journal-title":"Chirurgia Italiana"},{"key":"R6-11-20260223","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1007\/s00268-007-9011-9","article-title":"Gallstone ileus: diagnosis and management","volume":"31","author":"Ayantunde","year":"2007","journal-title":"World Journal of Surgery"},{"key":"R7-11-20260223","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s00534-002-0806-7","article-title":"Management of gallstone ileus","volume":"10","author":"Pavlidis","year":"2003","journal-title":"Journal of Hepato-Biliary-Pancreatic Surgery"},{"key":"R8-11-20260223","first-page":"365","article-title":"Gallstone ileus - clinical and therapeutic aspects","volume":"3","author":"Beuran","year":"2010","journal-title":"Journal of Medicine and Life"},{"key":"R9-11-20260223","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1002\/bjs.1800207704","article-title":"A giant gallstone impacted in the colon causing acute obstruction","volume":"20","author":"Grey-Turner","year":"1932","journal-title":"British Journal of Surgery"},{"key":"R10-11-20260223","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1001\/jama.1941.02820470001001","article-title":"Gallstone obstruction: pathogenesis and roentgen manifestations","volume":"117","author":"Rigler","year":"1941","journal-title":"The Journal of the American Medical Association, Chicago"},{"key":"R11-11-20260223","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1186\/1752-1947-1-157","article-title":"Jejunal perforation in gallstone ileus - a case series","volume":"1","author":"Browning","year":"2007","journal-title":"Journal of Medical Case Reports"},{"key":"R12-11-20260223","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.2214\/ajr.167.6.8956576","article-title":"Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction","volume":"167","author":"Maglinte","year":"1996","journal-title":"American Journal of Roentgenology"},{"key":"R13-11-20260223","first-page":"279","article-title":"Cholecyto-enteric fistula","volume":"24","author":"Yean","year":"2004","journal-title":"Journal of Medical Sciences"},{"key":"R14-11-20260223","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1055\/s-2000-7378","article-title":"Diagostic and therapeutic fistuloscopy: an adjuvant management in postoperative fistulas and abscess after upper gastrointestinal surgery","volume":"32","author":"Wong","year":"2000","journal-title":"Endoscopy"},{"key":"R15-11-20260223","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1007\/s004640000031","article-title":"Combined intraoperative laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography. Lessons from 29 cases","volume":"14","author":"Kalimi","year":"2000","journal-title":"Surgical Endoscopy"},{"key":"R16-11-20260223","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1056\/NEJM199701233360406","article-title":"Cholecystoduodenal fistula","volume":"336","author":"Singh","year":"1997","journal-title":"The New England Journal of Medicine"},{"key":"R17-11-20260223","first-page":"155","article-title":"Cholecystoduodenal fistula gastrointestinal","volume":"154","author":"Stern","year":"2006","journal-title":"Endoscopy"},{"key":"R18-11-20260223","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1001\/archsurg.143.11.1118","article-title":"Recurrent gallstone ileus: third time is the charm","volume":"143","author":"Vagefi","year":"2008","journal-title":"Archives of Surgery"},{"key":"R19-11-20260223","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"American Surgeon"},{"key":"R20-11-20260223","first-page":"84","article-title":"Gallstone Ileus: diagnostic and surgical dilemma","volume":"2","author":"Leone","year":"2012","journal-title":"Journal of Current Surgery"},{"key":"R21-11-20260223","first-page":"59","article-title":"Advantages of one stage repair in gallstone ileus","volume":"44","author":"Zuegal","year":"1997","journal-title":"Hepato-Gastroenterology"},{"key":"R22-11-20260223","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s00268-002-6569-0","article-title":"Comparison of surgical treatments of gallstone ileus: preliminary report","volume":"27","author":"Doko","year":"2003","journal-title":"World Journal of Surgery"},{"key":"R23-11-20260223","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1111\/j.1751-2980.2008.00338.x","article-title":"Gallstone ileus: surgical strategies and clinical outcome","volume":"9","author":"Muthukaramasamay","year":"2008","journal-title":"Journal of Digestive Diseases"},{"key":"R24-11-20260223","first-page":"624","article-title":"Gallstone ileus: retrospective review of a single centres experience using two surgical procedures","volume":"49","author":"Riaz","year":"2008","journal-title":"Singapore Medical Journal"},{"key":"R26-11-20260223","first-page":"69","article-title":"A comparison of two surgical strategies for the emergency treatment of gallstone ileus","volume":"45","author":"Tan","year":"2004","journal-title":"Singapore Medical Journal"},{"key":"R27-11-20260223","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.ijsu.2011.12.004","article-title":"Gallbladder perforation: case series and systematic review","volume":"10","author":"Date","year":"2012","journal-title":"International Journal of Surgery"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213000539?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261213000539?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304050-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T21:00:30Z","timestamp":1771880430000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304050-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2013.02.003","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}