{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:49Z","timestamp":1756339549390,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,30]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>A 74-year-old woman presents with a 7-day history of increasing lower abdominal pains and reduced bowel movements; resulting in absolute constipation.<\/jats:p>\n               <jats:p>Twenty-four hours prior to admission she also had symptoms of nauseous and significant abdominal distention. Her past medical history included; diverticulitis, type 2 diabetes, hypercholesterolemia, an ultrasound scan in 2005 confirming gallstones, but no previous abdominal surgery.<\/jats:p>\n               <jats:p>She was initially treated for bowel obstruction and a CT arranged. CT showed a 4.5\u2009cm gallstone in mid-sigmoid colon and a cholecystocolonic fistula. She was booked for colonoscopy\u00b1laparotomy, but on the morning of her planned procedure she repeatedly opened her bowels. Subsequent colonoscopy was negative and repeat CT confirmed the stone was no longer within the gastrointestinal tract.<\/jats:p>","DOI":"10.1136\/bcr-2021-243040","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T12:03:39Z","timestamp":1638273819000},"page":"e243040","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Conservative management of the colonic gallstone"],"prefix":"10.1136","volume":"14","author":[{"given":"Katherine Victoria","family":"Hurst","sequence":"first","affiliation":[{"name":"Department of General Surgery, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina Bryony","family":"Peiris","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Booth","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"2025082710231361000_14.11.e243040.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2010\/153740","article-title":"Gallstone ileus of the sigmoid colon: an unusual cause of large-bowel obstruction","volume":"2010","author":"Osman","year":"2010","journal-title":"HPB Surg"},{"key":"2025082710231361000_14.11.e243040.2","first-page":"440","article-title":"[Colonic gallstone ileus: A rare cause of intestinal obstruction]","volume":"85","author":"Marenco-de la Cuadra","year":"2017","journal-title":"Cir Cir"},{"key":"2025082710231361000_14.11.e243040.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2014.11.058"},{"key":"2025082710231361000_14.11.e243040.4","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.3748\/wjg.v13.i8.1295","article-title":"Gallstone ileus: report of two cases and review of the literature","volume":"13","author":"Chou","year":"2007","journal-title":"World J Gastroenterol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:23:18Z","timestamp":1756315398000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":4,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,11,30]]},"published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1136\/bcr-2021-243040"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243040","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}