{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T14:06:42Z","timestamp":1784729202146,"version":"3.55.0"},"reference-count":18,"publisher":"International College of Surgeons","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:p>Gallstone ileus is an uncommon complication of cholelithiasis. Most patients affected by gallstone ileus are elderly and have multiple comorbidities. Symptoms are vague and insidious, which may delay the correct diagnosis for days. Here we are reporting an uncommon complication of gallstone ileus. We report on a 70-year-old man with small bowel obstruction at the jejunum due to an impacted stone, which led to necrosis and perforation of the proximal bowel wall. Laparoscope-assisted small bowel resection with enterolithotomy was used to successfully treat the patient's perforation and obstruction. His recovery was uneventful. Gallstone ileus commonly presents with bowel obstruction, but intestinal perforation occurs very rarely. A laparoscopic approach can provide both diagnostic and therapeutic roles in management.<\/jats:p>","DOI":"10.9738\/intsurg-d-14-00265.1","type":"journal-article","created":{"date-parts":[[2015,5,26]],"date-time":"2015-05-26T14:32:12Z","timestamp":1432650732000},"page":"878-881","source":"Crossref","is-referenced-by-count":9,"title":["Gallstone Ileus With Jejunum Perforation Managed With Laparoscopic-Assisted Surgery: Rare Case Report and Minimal Invasive Management"],"prefix":"10.9738","volume":"100","author":[{"given":"Cheng-Hung","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, Republic of China"},{"name":"Department of Surgery, College of Medicine, Tzu Chi University, Hualien, Taiwan, Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Yao","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, Republic of China"},{"name":"Department of Surgery, College of Medicine, Tzu Chi University, Hualien, Taiwan, Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Han","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan, Republic of China"},{"name":"Department of Surgery, College of Medicine, Tzu Chi University, Hualien, Taiwan, Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4721","reference":[{"issue":"2","key":"i0020-8868-100-5-878-b01","series-title":"Ann Surg","first-page":"329","article-title":"Surgery for gallstone ileus: a nationwide comparison of trends and outcomes","volume":"259","author":"Halabi\n              WJ,","year":"2014","unstructured":"Halabi\n              WJ, \n            \n              Kang\n              CY, \n            \n              Ketana\n              N, \n            \n              Lafaro\n              KJ, \n            \n              Nguyen\n              VQ, \n            \n              Stamos\n              MJ\n            \n            et al\n          . Surgery for gallstone ileus: a nationwide comparison of trends and outcomes. Ann Surg2014;259(2):329\u2013335"},{"issue":"10","key":"i0020-8868-100-5-878-b02","series-title":"Zhong Xi Yi Jie He Xue Bao","first-page":"1010","article-title":"Etiological factors and mortality of acute intestinal obstruction: a review of 705 cases","volume":"6","author":"Chen\n              XZ,","year":"2008","unstructured":"Chen\n              XZ, \n            \n              Wei\n              T, \n            \n              Jiang\n              K, \n            \n              Yang\n              K, \n            \n              Zhang\n              B, \n            \n              Chen\n              ZX\n            \n            et al\n          . Etiological factors and mortality of acute intestinal obstruction: a review of 705 cases. 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Cir Esp2013;91(8):485\u2013489"},{"issue":"9","key":"i0020-8868-100-5-878-b08","series-title":"Rev Esp Enferm Dig","first-page":"503","article-title":"Jejunal diverticular perforation due to gallstone ileus","volume":"104","author":"Martin-Perez\n              J,","year":"2012","unstructured":"Martin-Perez\n              J, \n            \n              Bravo-Gutierrez\n              A, \n            \n              Delgado-Plasencia\n              L, \n            \n              Hernandez-Leon\n              CN, \n            \n              Medina-Arana\n              V.\n            \n          \n          Jejunal diverticular perforation due to gallstone ileus. 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JBR-BTR2010;93(1):32"},{"issue":"1","key":"i0020-8868-100-5-878-b15","series-title":"Int Surg","first-page":"63","article-title":"Gallstone impacted in the rectosigmoid junction causing a biliary ileus and a sigmoid perforation","volume":"94","author":"Van Kerschaver\n              O,","year":"2009","unstructured":"Van Kerschaver\n              O, \n            \n              Van Maele\n              V, \n            \n              Vereecken\n              L, \n            \n              Kint\n              M.\n            \n          \n          Gallstone impacted in the rectosigmoid junction causing a biliary ileus and a sigmoid perforation. 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J Laparoendosc Adv Surg Tech A2012;22(3):265\u2013268"},{"issue":"1","key":"i0020-8868-100-5-878-b18","series-title":"Br J Surg","first-page":"53","article-title":"Laparoscopically assisted or open enterolithotomy for gallstone ileus","volume":"94","author":"Moberg\n              AC,","year":"2007","unstructured":"Moberg\n              AC, \n            \n              Montgomery\n              A.\n            \n          \n          Laparoscopically assisted or open enterolithotomy for gallstone ileus. 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