{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:14Z","timestamp":1753877234522,"version":"3.41.2"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gallstone ileus is an uncommon complication of calculus cholecystitis through the formation of a biliary enteric fistula. The risk of mechanical obstruction caused by gallstones is increased with its size, in addition to chronic constipation, neoplasm and diverticulitis, to name a few. Here, we present a case of an 89-year-old male patient who presented with signs of bowel obstruction, which was found to be a gallstone impacted in the sigmoid colon. Considering the patient\u2019s stable condition and his comorbidities, a conservative approach was opted including IV fluids, fleet enema and bowel rest. Colonoscopy was performed and confirmed the passage of the stone. With no consensus regarding the management, the literature emphasizes a tailored approach to each case considering all possible operative and non-operative approaches. Some reports show promising results with non operative management. Gallstone ileus remains a challenging case, and further studies for the best treatment modalities are needed.<\/jats:p>","DOI":"10.1093\/jscr\/rjad331","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T01:59:04Z","timestamp":1686362344000},"source":"Crossref","is-referenced-by-count":2,"title":["Non-operative management of gallstone sigmoid ileus in a patient with a prostatic cancer"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7932-1891","authenticated-orcid":false,"given":"Ahmed M","family":"AlMuhsin","sequence":"first","affiliation":[{"name":"Security Forces Hospital Department of General Surgery, , Dammam 31413 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz","family":"Bazuhair","sequence":"additional","affiliation":[{"name":"Security Forces Hospital Department of General Surgery, , Dammam 31413 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"AlKhlaiwy","sequence":"additional","affiliation":[{"name":"Security Forces Hospital Department of General Surgery, , Dammam 31413 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami O","family":"Abu Hajar","sequence":"additional","affiliation":[{"name":"Security Forces Hospital Department of General Surgery, , Dammam 31413 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thabit","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"King Fahd University Hospital, Imam Abdulrahman Bin Faisal University Adult Critical Care Department, , Dammam 32314 , Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,6,9]]},"reference":[{"key":"2023061001585456900_ref1","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":"2023061001585456900_ref2","first-page":"1","article-title":"Gallstones and laparoscopic cholecystectomy","volume":"10","year":"1992","journal-title":"NIH Consens Statement"},{"key":"2023061001585456900_ref3","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1016\/0002-9610(75)90315-3","article-title":"Gallstone ileus: review of the literature and presentation of thirty-four new cases","volume":"129","author":"Day","year":"1975","journal-title":"Am J Surg"},{"key":"2023061001585456900_ref4","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.2214\/AJR.04.1371","article-title":"Role of helical CT in diagnosis of gallstone ileus and related conditions","volume":"185","author":"Lassandro","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"2023061001585456900_ref5","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":"Am J Roentgenol"},{"key":"2023061001585456900_ref6","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"Am Surg"},{"key":"2023061001585456900_ref7","first-page":"e19869","article-title":"Colonic gallstone ileus: treatment challenges","volume":"13","author":"Da Cunha","year":"2021","journal-title":"Cureus"},{"key":"2023061001585456900_ref8","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ijscr.2018.06.015","article-title":"Sigmoid gallstone ileus: a case report and literature review in Japan","volume":"49","author":"Inukai","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2023061001585456900_ref9","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/S0210-5705(01)70220-8","article-title":"Ileo biliar: resultados del an\u00e1lisis de una serie de 40 casos [Gallstone ileus: results of analysis of a series of 40 patients]","volume":"24","author":"Rodr\u00edguez Hermosa","year":"2001","journal-title":"Gastroenterol Hepatol"},{"key":"2023061001585456900_ref10","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1159\/000456656","article-title":"Gallstone ileus caused by cholecystocolonic fistula and gallstone impaction in the sigmoid colon: review of the literature and novel surgical treatment with trephine loop colostomy","volume":"11","author":"O'Brien","year":"2017","journal-title":"Case Rep Gastroenterol"},{"key":"2023061001585456900_ref11","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 (Lond)"},{"key":"2023061001585456900_ref12","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.ijscr.2017.09.009","article-title":"A single Centre case series of gallstone sigmoid ileus management","volume":"40","author":"Farkas","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2023061001585456900_ref13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/314394","article-title":"Gallstone ileus of the colon: leave no stone unturned","volume":"2013","author":"Salemans","year":"2013","journal-title":"Case Rep Surg"},{"key":"2023061001585456900_ref14","first-page":"14024","article-title":"Application of transanal ileus tube in acute obstructive left-sided colorectal cancer","volume":"8","author":"Zhang","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"2023061001585456900_ref15","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1002\/deo2.145","article-title":"Colonic gallstone ileus treated by a transanal ileus tube followed by spontaneous gallstone dislodgement: a case report","volume":"3","author":"Takagi","year":"2022","journal-title":"DEN Open"},{"key":"2023061001585456900_ref16","doi-asserted-by":"crossref","first-page":"72","DOI":"10.3393\/ac.2017.09.29","article-title":"Trephine transverse colostomy is effective for patients who have previously undergone rectal surgery","volume":"34","author":"Yeom","year":"2018","journal-title":"Ann Coloproctol"},{"key":"2023061001585456900_ref17","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"}],"container-title":["Journal of Surgical Case 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