{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T16:11:29Z","timestamp":1777133489078,"version":"3.51.4"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bowel obstruction\/ileus is a relatively common occurrence in surgical practice with a predictable clinical presentation and management course. Rarely are these cases found consistent with gallstone etiology. Known as gallstone ileus (GI), this uncommon presentation is found primarily in elderly females (age\u2009&amp;gt;\u200965\u00a0years old) with multiple comorbid conditions; usually with coinciding presence of a cholecystoenteric fistula. Surgical management remains controversial due to the rarity of presentation and complexity of related pathological process. We present a case of a 69-year-old female who presented with typical signs\/symptoms of bowel obstruction but found to have sigmoid GI on computed tomography imaging evaluation. A single stage exploratory laparotomy with simple enterolithotomy was performed with a positive outcome and uncomplicated postoperative recovery. The primary goal in reporting this case is to continue emphasizing the efficacy of a single stage simple enterolithotomy as the most ideal surgical management of this rare condition.<\/jats:p>","DOI":"10.1093\/jscr\/rjad135","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:41:52Z","timestamp":1678840912000},"source":"Crossref","is-referenced-by-count":3,"title":["Single stage surgical management of a sigmoid gallstone ileus case"],"prefix":"10.1093","volume":"2023","author":[{"given":"Paul","family":"Tonog","sequence":"first","affiliation":[{"name":"Department of Surgery, Cape Fear Valley Medical Center , Fayetteville, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0348-7670","authenticated-orcid":false,"given":"Derek T","family":"Clar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cape Fear Valley Medical Center , Fayetteville, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Ebalo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cape Fear Valley Medical Center , Fayetteville, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ovie","family":"Appresai","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cape Fear Valley Medical Center , Fayetteville, NC , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"2023031500060419300_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjgast-2019-000344","article-title":"Gallstone ileus: a review","volume":"6","author":"Inukai","year":"2019","journal-title":"BMJ Open Gastroenterol"},{"key":"2023031500060419300_","first-page":"1","article-title":"Rolling in the deep: imaging findings and diagnostic pearls in gallstone ileus","volume":"1","author":"Aldo","year":"2020","journal-title":"Surg Res Pract"},{"key":"2023031500060419300_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3390\/medicina55090598","article-title":"Gallstone ileus: management and clinical outcomes","volume":"55","author":"Jakubauskas","year":"2019","journal-title":"Medicina"},{"key":"2023031500060419300_","first-page":"1","article-title":"Large bowel obstruction secondary to gallstones","volume":"5","author":"Crosen","year":"2021","journal-title":"J Surg Case Rep"},{"key":"2023031500060419300_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijscr.2021.106171","article-title":"Laparoscopic management of gallstone ileus: a case report and literature review","volume":"85","author":"Orellana","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2023031500060419300_","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1111\/jgs.13635","article-title":"Spontaneous resolution of gallstone ileus with Giant stone: a case report and literature review","volume":"63","author":"Caranti","year":"2015","journal-title":"J Am Geriatr Soc"},{"key":"2023031500060419300_","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"},{"key":"2023031500060419300_","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.amsu.2018.01.004","article-title":"A systematic review of gallstone sigmoid ileus management","volume":"27","author":"Farkas","year":"2018","journal-title":"Ann Med Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad135\/49521780\/rjad135.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad135\/49521780\/rjad135.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T11:44:15Z","timestamp":1679831055000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad135\/7077161"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad135","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,3]]},"published":{"date-parts":[[2023,3,1]]},"article-number":"rjad135"}}