{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T18:49:05Z","timestamp":1763318945682,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T00:00:00Z","timestamp":1716076800000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gallstone ileus is an uncommon cause of mechanical bowel obstruction in patients with cholecystitis and gallstones who develop a fistula over time. In the post-cholecystectomy patient, the presence of gallstone ileus is extremely rare; these patients have different pathophysiological pathways, such as a spilled gallstone that subsequently erodes into the bowel, subtotal cholecystectomies, and diverticulae that can hold a gallstone for hidden several years. In these patients, the clinical presentations are unique because of their rarity and because the gallbladder had been previously removed. A high index of suspicion by the medical team is needed for diagnosis. We present the case of an 85-year-old male who had a history of cholecystectomy 35\u00a0years ago. He presented to the emergency department with intestinal obstruction. Since he had a hernia, it was thought to be the cause of the obstruction; however, during surgery, we were surprised to find a gallstone ileus. After surgery, he fully recovered.<\/jats:p>","DOI":"10.1093\/jscr\/rjae307","type":"journal-article","created":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T19:17:36Z","timestamp":1716146256000},"source":"Crossref","is-referenced-by-count":2,"title":["An unusual case of gallstone ileus 35\u00a0years post-cholecystectomy masked by an incisional hernia"],"prefix":"10.1093","volume":"2024","author":[{"given":"Christian I","family":"Gordon","sequence":"first","affiliation":[{"name":"Universidad Internacional del Ecuador, (UIDE) , PGY3 General Surgery, Av. Sim\u00f3n Bol\u00edvar y Av. Jorge Fern\u00e1ndez, 170411, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0001-9070","authenticated-orcid":false,"given":"Gabriel A","family":"Molina","sequence":"additional","affiliation":[{"name":"Hospital Metropolitano , Av. Mariana de Jes\u00fas, 170521 and Universidad San Francisco de Quito (USFQ), Diego de Robles, 170901, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johann S","family":"Diaz","sequence":"additional","affiliation":[{"name":"Universidad Internacional del Ecuador , (UIDE), PGY4 General Surgery, Av. Sim\u00f3n Bol\u00edvar y Av. Jorge Fern\u00e1ndez, 170411, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria B","family":"Mancero","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Chimborazo , Av. Antonio Jos\u00e9 de Sucre, 060110, Riobamba , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea E","family":"Heredia","sequence":"additional","affiliation":[{"name":"Department of Surgery Iess Quito Sur , Moraspungo, 170111, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana E","family":"Parrales","sequence":"additional","affiliation":[{"name":"Department of Surgery Iess Quito Sur , Moraspungo, 170111, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesus N","family":"Larco","sequence":"additional","affiliation":[{"name":"Universidad de las Americas , (UDLA), Crist\u00f3bal Col\u00f3n E9-241, 170513, Quito , Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,18]]},"reference":[{"key":"2024051919172587000_ref1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/SLA.0b013e31827eefed","article-title":"Surgery for gallstone ileus","volume":"259","author":"Halabi","year":"2014","journal-title":"Ann Surg"},{"key":"2024051919172587000_ref2","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/j.1445-2197.2005.03368.x","article-title":"Gallstone ileus: rare and still controversial","volume":"75","author":"Kirchmayr","year":"2005","journal-title":"ANZ J Surg"},{"key":"2024051919172587000_ref3","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":"2024051919172587000_ref4","article-title":"Gallstone ileus 1 year after cholecystectomy","volume":"7","author":"Teelucksingh","year":"2018","journal-title":"Journal of Surgical Case Reports"},{"key":"2024051919172587000_ref5","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":"Nu\u00f1o-Guzm\u00e1n","year":"2016","journal-title":"World Journal of Gastrointestinal Surgery"},{"key":"2024051919172587000_ref6","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1002\/bjs.1800770707","article-title":"Gallstone ileus","volume":"77","author":"Clavien","year":"1990","journal-title":"Br J Surg"},{"key":"2024051919172587000_ref7","first-page":"e33345","article-title":"Gallstone ileus post-cholecystectomy: a case review","volume":"15","author":"Helmy","year":"2023","journal-title":"Cureus"},{"key":"2024051919172587000_ref8","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1016\/j.ijscr.2021.01.077","article-title":"Gallstone ileus after recent cholecystectomy. Case report and review of the literature","volume":"79","author":"Segundo","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2024051919172587000_ref9","doi-asserted-by":"crossref","first-page":"e8541","DOI":"10.1097\/MD.0000000000008541","article-title":"Gallstone ileus displaying the typical Rigler triad and an occult second ectopic stone","volume":"96","author":"Wang","year":"2017","journal-title":"Medicine"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae307\/57742448\/rjae307.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae307\/57742448\/rjae307.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,19]],"date-time":"2024-05-19T19:17:43Z","timestamp":1716146263000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae307\/7676252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae307","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,5]]},"published":{"date-parts":[[2024,5]]},"article-number":"rjae307"}}