{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:40:09Z","timestamp":1756384809618,"version":"3.40.4"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>This is the case report of an 85-year-old woman who on two consecutive occasions presented with acute abdominal pain. The first presentation was large bowel obstruction. CT abdomen revealed this was due to a cholecystocolic fistula, allowing a large gallstone to pass and obstruct in the sigmoid colon. The second presentation was after laparotomy; the second CT abdomen revealed another gallstone causing small bowel obstruction. This case is interesting because cholelithiasis rarely leads to sigmoid colon obstruction (gallstone coleus)1 and gallstone ileus. Unfortunately, this patient had both. A gallstone causing obstruction in either the small or large bowel is rare, but occurrence of both in the same patient has not been reported to date. This case also shows how the elderly unwell surgical patient was mismanaged and she could have been spared surgery and irradiation if she was managed appropriately from the start.<\/jats:p>","DOI":"10.1136\/bcr.09.2010.3372","type":"journal-article","created":{"date-parts":[[2011,4,26]],"date-time":"2011-04-26T10:23:22Z","timestamp":1303813402000},"page":"bcr0920103372","source":"Crossref","is-referenced-by-count":11,"title":["Large bowel and small bowel obstruction due to gallstones in the same patient"],"prefix":"10.1136","volume":"2011","author":[{"given":"Natasha","family":"Ranga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,4,26]]},"reference":[{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.1","unstructured":"Doddi S Basu NN Kamal T . Large bowel obstruction due to gallstone: \u2018gallstone coleus\u2019. http:\/\/www.grandrounds-e-med.com (accessed 31 December 2009)."},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.2","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases.","volume":"60","author":"Reisner","year":"1994","journal-title":"Am Surg"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.3","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199706000-00029"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.4","first-page":"55","article-title":"A case of gallstone ileus with an unusual impaction site and spontaneous evacuation.","volume":"50","author":"Anagnostopoulos","year":"2004","journal-title":"J Postgrad Med"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.5","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.115013"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.6","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1177\/02841851960373P295","article-title":"Radiological findings in biliary fistula and gallstone ileus.","volume":"37","author":"Oikarinen","year":"1996","journal-title":"Acta Radiol"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.7","unstructured":"Fellinger E Rogers F . Gallstone ileus case report. http:\/\/www.surgicalroundsonline.com (accessed 31 October 2009)."},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.8","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1007\/s00268-007-9011-9","article-title":"Gallstone ileus: diagnosis and management.","volume":"31","author":"Ayantunde","year":"2007","journal-title":"World J Surg"},{"key":"2025042707303459000_2011.apr21_1.bcr0920103372.9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840514"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.09.2010.3372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:30:46Z","timestamp":1745764246000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.09.2010.3372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":9,"alternative-id":["10.1136\/bcr.09.2010.3372"],"URL":"https:\/\/doi.org\/10.1136\/bcr.09.2010.3372","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011]]}}}