{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T14:06:40Z","timestamp":1784729200177,"version":"3.55.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gallstone ileus results in a mechanical small bowel obstruction when an itinerant gallstone tumbles downstream and obstructs the bowel lumen. Associated proximal intestinal injury with perforation is rare, and concomitant perforation of multiple segments of bowel in the setting of gallstone ileus has never been reported in the literature. We are reporting the case of a 67-year-old female patient who had gallstone ileus causing perforation of multiple segments of small bowel. At operation, she was found to have a 3.2-cm gallstone lodged at the terminal ileum, perforation of both the mid ileum and mid jejunum, and gross enteric spillage. She underwent removal of the gallstone and small bowel resection \u00d7 2. She was initially left in discontinuity with an open abdomen. She returned to the operating room 2\u00a0days later for bowel anastomosis and abdominal closure. She recovered well after surgery and was discharged home.<\/jats:p>","DOI":"10.1093\/jscr\/rjae647","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T01:11:44Z","timestamp":1729473104000},"source":"Crossref","is-referenced-by-count":2,"title":["Gallstone ileus causing perforation of multiple segments of small bowel"],"prefix":"10.1093","volume":"2024","author":[{"given":"Andrew D","family":"Eiref","sequence":"first","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karri","family":"Hester","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Glaspy","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Sarkisova","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohini","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick W","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nicoara","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishan","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heath","family":"Walden","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon D","family":"Eiref","sequence":"additional","affiliation":[{"name":"Department of Surgery , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]},{"name":"Danbury Hospital , Department of Pathology, , 24 Hospital Ave, Danbury, CT 06810 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,19]]},"reference":[{"key":"2024102101112138900_ref1","doi-asserted-by":"publisher","first-page":"e000344","DOI":"10.1136\/bmjgast-2019-000344","article-title":"Gallstone ileus: a review","volume":"6","author":"Inukai","year":"2019","journal-title":"BMJ Open Gastroenterol"},{"key":"2024102101112138900_ref2","first-page":"33","article-title":"Gallstone ileus","volume":"3","author":"Jacobucci","year":"2022","journal-title":"ACS Case Reviews in Surgery"},{"key":"2024102101112138900_ref3","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1007\/s10140-017-1568-5","article-title":"Clinical and radiological diagnosis of gallstone ileus: a mini review","volume":"25","author":"Chang","year":"2018","journal-title":"Emerg 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Reports"},{"key":"2024102101112138900_ref7","doi-asserted-by":"publisher","first-page":"878","DOI":"10.9738\/INTSURG-D-14-00265.1","article-title":"Gallstone ileus with jejunum perforation managed with laparoscopic-assisted surgery: rare case report and minimal invasive management","volume":"100","author":"Lee","year":"2015","journal-title":"Int Surg"},{"key":"2024102101112138900_ref8","first-page":"237","article-title":"Multiple proximal jejunal perforations in gallstone ileus","volume":"31","author":"Al-Fallouji","year":"1986","journal-title":"J R Coll Surg Edinb"},{"key":"2024102101112138900_ref9","first-page":"126","article-title":"Mnozhestvennaia perforatsiia tonko\u012d kishki pri zhelchnokamenno\u012d kishechno\u012d neprokhodimosti [multiple perforations of the small intestine in cholelithiasis- induced intestinal obstruction]","author":"Baskakov","year":"1991","journal-title":"Khirurgiia 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