{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:56:13Z","timestamp":1747191373513,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T00:00:00Z","timestamp":1689811200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2023,7,20]]},"abstract":"<jats:p>Introduction. Gallstone sigmoid ileus is a very rare manifestation of large bowel obstruction. Mainly, three conditions predispose the manifestation of the entity; in particular, an episode of cholecystitis causing cholecysto-colonic fistula; a large gallstone; and narrowing of the sigmoid colon secondary to diverticular disease or malignancy. Case Report. An 82-year-old man presented to the emergency department with a one-week history of severe constipation, tachypnoea, tachycardia, hypotension, and high lactate. Physical examination demonstrated cyanosed upper and lower extremities and palpation of the abdomen revealed signs of peritonism, abdominal distention, and guarding. Computerized tomography scan demonstrated perforation of the hollow viscus organ secondary to impaction of the large gallstone in the sigmoid colon. Laparotomy revealed sigmoid perforation and widespread feculent peritonitis. The patient underwent Hartmann\u2019s procedure. After the intervention gave concerns regarding the patient\u2019s haemodynamic stability, he was transferred to the intensive care unit. The patient passed away on the third postoperative day due to complications secondary to haemodynamic instability. Conclusions. Patients with early diagnosed uncomplicated sigmoid gallstone ileus can be managed with endoscopic mechanical lithotripsy. In case of failure, open or laparoscopic enterolithotomy can be applied. However, when patients present with complications, surgery should not be delayed. In our case, Hartmann\u2019s procedure was an absolute indication due to sigmoid perforation and widespread feculent peritonitis.<\/jats:p>","DOI":"10.1155\/2023\/9986665","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T23:20:06Z","timestamp":1689895206000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["Colonic Perforation Secondary to Gallstone Impaction in the Sigmoid Colon"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7773-2291","authenticated-orcid":true,"given":"Paschalis","family":"Gavriilidis","sequence":"first","affiliation":[{"name":"Department of Surgery, Colchester General Hospital, Turner Road, Colchester CO4 5JL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhilash","family":"Paily","sequence":"additional","affiliation":[{"name":"Department of Surgery, Colchester General Hospital, Turner Road, Colchester CO4 5JL, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1002\/bjs.1800770707","article-title":"Gallstone ileus","volume":"77","author":"P. 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