{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T11:52:20Z","timestamp":1689853940830},"reference-count":16,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Gallstone ileus (GSI) of the colon is an extremely rare entity with potentially serious complications including perforation.<jats:italic>Case Presentation<\/jats:italic>. An 88-year-old man presented to the emergency department with abdominal pain and distension. Clinical exam revealed signs of peritonism. Computed tomography (CT) revealed GSI of the transverse colon with a closed-loop large bowel obstruction (LBO) and caecal perforation. The patient underwent emergency laparotomy. A right hemicolectomy was performed, the gallstone was removed, and a primary bowel anastomosis was undertaken. A Foley catheter was sutured into the residual gallbladder bed to create a controlled biliary fistula. The patient recovered well postoperatively with no complications. He was discharged home with the Foley catheter in situ.<jats:italic>Discussion<\/jats:italic>. Gallstone ileus is a difficult diagnosis both clinically and radiologically with only 50% of cases being diagnosed preoperatively. Most commonly it is associated with impaction at the ileocaecal valve and small bowel obstruction. Gallstone ileus should also be considered as a rare but potential cause of LBO. This is the first reported case of caecal perforation secondary to gallstone ileus of the transverse colon. Successful operative management consisted of a one-stage procedure with right hemicolectomy and formation of a controlled biliary fistula.<\/jats:p>","DOI":"10.1155\/2015\/691713","type":"journal-article","created":{"date-parts":[[2015,2,5]],"date-time":"2015-02-05T21:01:40Z","timestamp":1423170100000},"page":"1-4","source":"Crossref","is-referenced-by-count":5,"title":["Perforated Closed-Loop Obstruction Secondary to Gallstone Ileus of the Transverse Colon: A Rare Entity"],"prefix":"10.1155","volume":"2015","author":[{"given":"S. P.","family":"Carr","sequence":"first","affiliation":[{"name":"Royal College of Surgeons in Ireland, Dublin 2, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. T.","family":"MacNamara","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland, Dublin 2, Ireland"},{"name":"Department of Surgery, Beaumont Hospital, Dublin 17, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. M.","family":"Muhammed","sequence":"additional","affiliation":[{"name":"Department of Surgery, Beaumont Hospital, Dublin 17, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland, Dublin 2, Ireland"},{"name":"Department of Surgery, Beaumont Hospital, Dublin 17, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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