{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:21Z","timestamp":1756374021946,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,1]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>We present a case of a woman in her 70s who arrived in the emergency department with signs of small-bowel obstruction. CT scanning revealed acute cholecystitis with a cholecystoduodenal fistula, pneumobilia and small-bowel obstruction possibly secondary to gallstone ileus although no radio-opaque gallstones were seen. The patient underwent an emergency operation and intra-operative findings revealed mechanical small-bowel obstruction of the proximal jejunum where a 4\u00d72 x 3 cm gallstone was impacted. A laparoscopic-assisted enterotomy was performed with stone extraction and primary closure. The patient made a full recovery. A planned laparoscopic cholecystectomy and repair of cholecystoduodenal fistula is scheduled on elective basis.<\/jats:p>","DOI":"10.1136\/bcr-2024-263628","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T09:01:12Z","timestamp":1736326872000},"page":"e263628","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic surgery for gallstone ileus"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0627-8751","authenticated-orcid":false,"given":"Melden Darrell","family":"Barcelona","sequence":"first","affiliation":[{"name":"Medical Education Department, Ealing Hospital, London North West University Healthcare NHS Trust, London, UK"},{"name":"Department of General Surgery, Ealing Hospital, London North West University Healthcare NHS Trust, London, 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