{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:48:12Z","timestamp":1768438092882,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,6,4]]},"abstract":"<jats:p>We report a rare case of large bowel obstruction secondary to a gallstone impacted within the sigmoid colon, in the presence of sigmoid diverticular disease. An 89-year-old woman presented with an 8-day history of increasing abdominal distension, pain and associated nausea. Abdominal X-ray demonstrated large bowel dilation. CT scan revealed a fistula between an inflamed gallbladder and the hepatic flexure of the colon, with a large gallstone in the sigmoid colon. Proximal dilated large bowel was evident to the caecum. Flexible sigmoidoscopy was performed as the least invasive potential treatment method with a view to basket retrieval or fragmentation of the stone. Owing to poor views and risk of diverticular perforation, the procedure was abandoned, hence laparotomy was performed. Antegrade manipulation and per-rectal evacuation were attempted but failed due to a thickened, angulated sigmoid colon. Retrograde milking of the stone to the caecum and retrieval via modified appendicectomy was successful.<\/jats:p>","DOI":"10.1136\/bcr-2014-209229","type":"journal-article","created":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T12:14:48Z","timestamp":1436184888000},"page":"bcr2014209229","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["A novel surgical approach for treatment of sigmoid gallstone ileus"],"prefix":"10.1136","volume":"2015","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0869-1702","authenticated-orcid":false,"given":"Abbey","family":"Cargill","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Farkas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Black","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"West","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,6]]},"reference":[{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.11.058"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.2","first-page":"431","article-title":"Gallstone ileus and intestinal perforation secondary to sigmoid diverticulum","volume":"106","author":"Mon-Martin","year":"2014","journal-title":"Rev Esp Enferm Dig"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.3","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201136"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.4","doi-asserted-by":"crossref","first-page":"pii: bcr1120115100","DOI":"10.1136\/bcr.11.2011.5100","article-title":"Large bowel obstruction due to impaction of a gallstone","volume":"2012","author":"Athwal","year":"2012","journal-title":"BMJ Case Rep"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.5","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-204402"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.6","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1291641"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.7","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12664192076377"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.8","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"Am Surg"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840514"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.10","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-67202014000400013"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.11","first-page":"406","article-title":"Successful management of cholecystocolic fistula by endoscopic retrograde cholangiopancreatography: a report of two cases","volume":"16","author":"Toll","year":"2010","journal-title":"Hong Kong Med J"},{"key":"2025042706421187000_2015.jul06_1.bcr2014209229.12","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195507000-00007"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-209229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:42:17Z","timestamp":1745761337000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-209229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,6]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-209229"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-209229","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,6]]}}}