{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:01Z","timestamp":1756276801426,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,24]]},"abstract":"<jats:p>We describe the case of an 81-year-old woman with large bowel-obstruction caused by an impacted gallstone. An 81-year-old, Caucasian, fully independent woman without significant comorbidities presented with absolute constipation, faecal vomiting and abdominal pain. Abdominal radiography revealed dilated small bowel, and a subsequent contrast CT demonstrated a 2.5\u2005cm gallstone in the sigmoid colon. This is believed to have entered the transverse colon via a cholecyst-colonic fistula, and then migrated to a section of sigmoid colon affected by diverticular disease, where it became impacted. Two sigmoidoscopic removals were attempted but were unsuccessful as the gallstone's size prevented removal with an endoscopic basket. A laparotomy was performed and the stone extracted via a sigmoid enterotomy. No covering stoma was formed, and following 48\u2005h on intensive trauma unit and a short ward-based stay for rehabilitation, the patient was discharged home and is currently doing well.<\/jats:p>","DOI":"10.1136\/bcr-2014-208167","type":"journal-article","created":{"date-parts":[[2014,11,19]],"date-time":"2014-11-19T06:02:54Z","timestamp":1416376974000},"page":"bcr2014208167","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Enterolithotomy for the treatment of large bowel obstruction secondary to gallstones"],"prefix":"10.1136","volume":"2014","author":[{"given":"Kate","family":"Swarbrick","sequence":"first","affiliation":[{"name":"Department of Accident and Emergency, Horton General Hospital, Banbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Allin","sequence":"additional","affiliation":[{"name":"Neonatal Perinatal Epidemiology Unit, University of Oxford, Headington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Royal Berkshire Hospital, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Sampson","sequence":"additional","affiliation":[{"name":"Department of Upper GI Surgery, Royal Berkshire Hospital, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,11,19]]},"reference":[{"key":"2025082623111503000_2014.nov19_1.bcr2014208167.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329533"},{"key":"2025082623111503000_2014.nov19_1.bcr2014208167.2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4321\/S1130-01082009000200005","article-title":"Gallstone ileus: management options and results on a series of 40 patients","volume":"101","author":"Martinez Ramos","year":"2009","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082623111503000_2014.nov19_1.bcr2014208167.3","doi-asserted-by":"crossref","unstructured":"Ball WR , Elshaieb M , Hershman MJ . 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