{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T05:43:37Z","timestamp":1777095817185,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Gallstone ileus is a rare cause of bowel obstruction. Colonic impaction, especially in the sigmoid colon, is extremely uncommon and often associated with diverticulosis or structural abnormalities. An 81-year-old woman presented with 2\u00a0weeks of abdominal pain, bloating, nausea, and vomiting. A computed tomography (CT) scan revealed a 6.2\u00a0cm gallstone in the sigmoid colon with pneumobilia and a cholecystocolonic fistula. After unsuccessful colonoscopic extraction, she underwent laparoscopic enterolithotomy with segmental sigmoid resection. She recovered without complications and remained symptom-free at her 6-week follow-up. Colonic gallstone ileus is rare and should be suspected in elderly women with obstruction and pneumobilia. A CT scan is the diagnostic gold standard. While endoscopy may work for small stones, surgery is usually required. Enterolithotomy with or without resection remains the safest approach in frail patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf1031","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T13:15:26Z","timestamp":1765372526000},"source":"Crossref","is-referenced-by-count":0,"title":["Gallstone ileus with sigmoid impaction through a cholecystocolic fistula: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Yves","family":"L\u00e9vesque","sequence":"first","affiliation":[{"name":"Department of General Surgery, H\u00f4pital H\u00f4tel-Dieu d\u2019Arthabaska, Victoriaville, Universit\u00e9 de Sherbrooke , QC G6P 6N2 ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Brideau","sequence":"additional","affiliation":[{"name":"Centre de formation m\u00e9dicale du Nouveau-Brunswick, 50 rue de la Francophonie, Moncton, NB E1A 7R1, Canada, Universit\u00e9 de Sherbrooke , Moncton, NB ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie","family":"Drouin","sequence":"additional","affiliation":[{"name":"Centre de formation m\u00e9dicale du Nouveau-Brunswick, 50 rue de la Francophonie, Moncton, NB E1A 7R1, Canada, Universit\u00e9 de Sherbrooke , Moncton, NB ,","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"2026042501114804400_ref1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.11604\/pamj.2017.27.187.12238","article-title":"Il\u00e9us biliaire colique: une cause rare d\u2019occlusion colique","volume":"27","author":"Mazine","year":"2017","journal-title":"Pan Afr Med J"},{"key":"2026042501114804400_ref2","doi-asserted-by":"publisher","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\u2019Brien","year":"2017","journal-title":"Case Rep Gastroenterol"},{"key":"2026042501114804400_ref3","doi-asserted-by":"publisher","first-page":"483","DOI":"10.21614\/chirurgia.3046","article-title":"The rolling stones: a systematic review and meta-analysis of the management of gallstone ileus","volume":"119","author":"Vadher","year":"2024","journal-title":"Chirurgia (Bucur)"},{"key":"2026042501114804400_ref4","doi-asserted-by":"publisher","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"},{"key":"2026042501114804400_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad135","article-title":"Single stage surgical management of a sigmoid gallstone ileus case","volume":"2023","author":"Tonog","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2026042501114804400_ref6","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.amsu.2018.06.001","article-title":"Gallstone ileus of the sigmoid colon caused by cholecystocolonic fistula: a case report","volume":"31","author":"Mauricio","year":"2018","journal-title":"Ann Med Surg"},{"key":"2026042501114804400_ref7","doi-asserted-by":"publisher","first-page":"e4","DOI":"10.1308\/147870810X12659688851753","article-title":"Recurrent gallstone ileus","volume":"92","author":"Hussain","year":"2010","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjaf1031\/68157177\/rjaf1031.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjaf1031\/68157177\/rjaf1031.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T05:11:53Z","timestamp":1777093913000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf1031\/8662285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf1031","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjaf1031"}}