{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:08:34Z","timestamp":1768442914957,"version":"3.49.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Gallstone ileus is a complication of acute cholecystitis that accounts for 25% of bowel obstruction cases in the elderly. To our knowledge, only one other case of gallstone ileus presenting as intussusception has been reported in the literature, and involved non-operative management with an unfavorable outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CASE PRESENTATION:<\/jats:title>\n                    <jats:p>Here we report the case of 69 year old woman presenting with symptoms of acute small bowel obstruction with a surgical history significant for cholecystectomy 30 years prior. Computed tomographic imaging showed a target sign in the small bowel consistent with intussusception, but intraoperative diagnosis revealed this to be a gallstone. A simple enterolithotomy was conducted and the patient has since been symptom free.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Gallstone ileus has a high mortality rate (12\u201317%) and is an important differential diagnosis to consider, especially as the elderly population throughout the world continues to grow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>As radiographic features of gallstones are variable we suggest maintaining a high index of suspicion for gallstone ileus in any elderly patient presenting with SBO, even with a seemingly contradictory surgical history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2016.11.036","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T01:47:08Z","timestamp":1479779228000},"page":"37-39","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Gallstone ileus presenting as intussusception"],"prefix":"10.1097","volume":"30","author":[{"given":"Rahul M.","family":"Prasad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina M.","family":"Weimer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arunkumar","family":"Baskara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-10-20260114","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"Am. Surg"},{"key":"R2-10-20260114","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4240\/wjgs.v8.i1.65","article-title":"Gallstone ileus clinical presentation, diagnostic and treatment approach","volume":"8","author":"Nuno-Guzman","year":"2016","journal-title":"World J. Gastrointest. Surg"},{"key":"R3-10-20260114","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/SLA.0b013e31827eefed","article-title":"Surgery for gallstone ileus: a nationwide comparison of trends and outcomes","volume":"259","author":"Halabi","year":"2014","journal-title":"Ann. Surg"},{"key":"R5-10-20260114","first-page":"1651","article-title":"Guidelines for management of small bowel obstruction","volume":"64","author":"Diaz","year":"2008","journal-title":"J. Trauma"},{"key":"R6-10-20260114","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1186\/1471-2482-13-S2-S6","article-title":"Usefulness of CT-scan in the diagnosis and therapeutic approach of gallstone ileus: report of two surgically treated cases","volume":"13","author":"Michele","year":"2013","journal-title":"BMC Surg"},{"key":"R7-10-20260114","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1007\/s00268-007-9011-9","article-title":"Gallstone ileus: diagnosis and management","volume":"31","author":"Ayantunde","year":"2007","journal-title":"World J. Surg"},{"key":"R8-10-20260114","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 J. Surg"},{"key":"R9-10-20260114","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ejrad.2003.11.011","article-title":"Gallstone ileus analysis of radiological findings in 27 patients","volume":"50","author":"Lassandro","year":"2004","journal-title":"Eur. J. Radiol"},{"key":"R10-10-20260114","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/00000658-199708000-00003","article-title":"Adult intussusception","volume":"226","author":"Azar","year":"1997","journal-title":"Ann. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216305144?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261216305144?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201730000-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:35:34Z","timestamp":1768397734000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201730000-00010"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2016.11.036","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}