{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:47:34Z","timestamp":1768438054338,"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":[[2017,9,13]],"date-time":"2017-09-13T00:00:00Z","timestamp":1505260800000},"content-version":"vor","delay-in-days":255,"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":"ABSTRACT<\/jats:title>\n \n Aims\/Introduction:<\/jats:title>\n Gallstone sigmoid ileus is a rare condition that presents with symptoms of large bowel obstruction secondary to a gallstone impacted within the sigmoid colon. This arises because of three primary factors: cholelithiasis causing a cholecystoenteric fistula; a gallstone large enough to obstruct the bowel lumen; and narrowing of the bowel.<\/jats:p>\n We describe 3 patients treated in a district general hospital over a 3-year period, and discuss their management.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Cases were retrospectively analysed from a single center between 2015 and 2017 in line with the SCARE guidelines.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n 3 patients - 2 female, 1 male. Age: 89, 68, 69 years. 2 cholecystocolonic fistulae, 1 cholecystoenteric (small bowel) fistula.<\/jats:p>\n Patient 1: Unsuccessful endoscopic attempts to retrieve the (5 \u00d7 5 cm) gallstone resulted in surgery. Retrograde milking of the stone to caecum enabled removal via modified appendicectomy.<\/jats:p>\n Patient 2: Endoscopy and lithotripsy failed to fragment stone. Prior to laparotomy the stone was palpated in the proximal rectum enabling manual extraction.<\/jats:p>\n Patient 3: Laparotomy for gallstone ileus failed to identify a stone within the small bowel. Gallstone sigmoid ileus then developed. Conservative measures successfully decompressed the large bowel 6 days post-operation.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n This is the first case series highlighting the differing strategies and challenges faced by clinicians managing gallstone sigmoid ileus. Conservative measures (including manual evacuation), endoscopy, lithotripsy and surgery all play important roles in relieving large bowel obstruction. It is essential to tailor care to individual patients' needs given the complexities of this potentially life threatening condition.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.09.009","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T16:48:46Z","timestamp":1505407726000},"page":"58-62","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["A single centre case series of gallstone sigmoid ileus management"],"prefix":"10.1097","volume":"40","author":[{"given":"Nicholas","family":"Farkas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravindran","family":"Karthigan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trystan","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Read","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Farhat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahsan","family":"Zaidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"West","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-16-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE Statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2017","journal-title":"Int. J. Surg"},{"key":"R3-16-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1007\/s11894-005-0051-8","article-title":"Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21 st century?","volume":"7","author":"Shaffer","year":"2005","journal-title":"Curr. Gastroenterol. Rep"},{"key":"R8-16-20260114","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5348\/ijcri-2011-04-28-CR-3","article-title":"Endoscopic laser lithotripsy for gallstone large bowel obstruction","volume":"2","author":"Alkhusheh","year":"2011","journal-title":"Int. J. Case Rep. Images"},{"key":"R9-16-20260114","doi-asserted-by":"crossref","first-page":"A20","DOI":"10.1016\/j.cgh.2008.07.034","article-title":"Unusual cause of colonic obstruction: gallstone impaction requiring mechanical lithotripsy","volume":"7","author":"Reiss","year":"2009","journal-title":"Clin. Gastroenterol. Hepatol"},{"key":"R11-16-20260114","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.3748\/wjg.v16.i12.1533","article-title":"Successful endoscopic treatment of colonic gallstone ileus using electrohydraulic lithotripsy","volume":"16","author":"Zielinski","year":"2010","journal-title":"World J. Gastroenterol. WJG"},{"key":"R12-16-20260114","first-page":"30","article-title":"Sigmoid laser lithotripsy for gallstone ileus","volume":"4","author":"Butruk","year":"2006","journal-title":"Folia Gastroenterol. Hepatol"},{"key":"R14-16-20260114","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1016\/j.ijscr.2014.11.058","article-title":"Colonic perforation by a large gallstone: a rare case report","volume":"5","author":"Halleran","year":"2014","journal-title":"Int. J. Surg. Case Rep"},{"key":"R15-16-20260114","first-page":"55","article-title":"A case of gallstone ileus with an unusual impaction site and spontaneous evacuation","volume":"50","author":"Anagnostopoulos","year":"2004","journal-title":"J. Postgrad. Med"},{"key":"R16-16-20260114","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1067\/mge.2001.115013","article-title":"Gallstone impaction in the colon as a result of a biliary-colonic fistula","volume":"53","author":"Maltz","year":"2001","journal-title":"Gastrointest. Endosc"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217304649?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217304649?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201740000-00016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:03:36Z","timestamp":1768395816000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201740000-00016"}},"subtitle":[],"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.2017.09.009","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}