{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:57:48Z","timestamp":1768449468229,"version":"3.49.0"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,9,23]]},"abstract":"<jats:p>Gallstone ileus is a rare complication of cholelithiasis accounting for 1\u20134% of cases of intestinal obstruction with a predominance in the elderly population. Unfortunately, it has an insipid presentation and is associated with significant rates of morbidity and mortality. Controversy arises over the management of gallstone ileus, and while surgery remains the mainstay of treatment, the main point of contention surrounds the extent of surgery. We describe the case of an 85-year-old woman who presented with symptoms and signs of large bowel obstruction. Radiological evaluation revealed a 5\u2005cm\u00d73.5\u2005cm gallstone impacted in the sigmoid colon. A laparoscopic-assisted enterolithotomy alone relieved the obstruction with minimal surgical insult and allowed for a swift and uneventful recovery. Our case emphasises the need for a high index of suspicion for the condition as well as highlighting the advantages of the use of laparoscopic surgery in an emergency setting.<\/jats:p>","DOI":"10.1136\/bcr-2014-204402","type":"journal-article","created":{"date-parts":[[2014,10,16]],"date-time":"2014-10-16T17:03:04Z","timestamp":1413478984000},"page":"bcr2014204402","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Colonic gallstone ileus: the rolling stones"],"prefix":"10.1136","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4125-5080","authenticated-orcid":false,"given":"Roisin Mary","family":"Heaney","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,10,16]]},"reference":[{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770707"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.2","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"Am Surg"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.3","doi-asserted-by":"publisher","DOI":"10.1007\/s002610000190"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.4","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1961.01300090003001"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05451.x"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.6","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12664192076377"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(86)90550-7"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90185-3"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.9","doi-asserted-by":"publisher","DOI":"10.1007\/BF02560445"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1941.02820470001001"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2003.11.011"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.12","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.3748\/wjg.v11.i14.2142","article-title":"Value of CT in the diagnosis and management of gallstone ileus","volume":"11","author":"Yu","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.13","first-page":"61","article-title":"Management of gallstone ileus","volume":"32","author":"Syme","year":"1989","journal-title":"Can J Surg"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.14","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S1052-5157(18)30387-8","article-title":"Transpapillary choledochoscopy","volume":"6","author":"Bourke","year":"1996","journal-title":"Gastrointest Endosc Clin N Am"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.15","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1018186"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(97)70186-X"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.17","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6569-0"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.18","first-page":"279","article-title":"Laparoscopic management of gallstone ileus","volume":"5","author":"Soto","year":"2001","journal-title":"JSLS"},{"key":"2025042706452676000_2014.oct16_1.bcr2014204402.19","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5537"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:45:33Z","timestamp":1745761533000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,16]]},"references-count":19,"alternative-id":["10.1136\/bcr-2014-204402"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204402","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,16]]}}}