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dc.contributor.authorCreedon, Lee
dc.contributor.authorBoyd-Carson, H
dc.date.accessioned2018-08-20T10:53:12Z
dc.date.available2018-08-20T10:53:12Z
dc.date.issued2018-08
dc.identifier.citationAnn R Coll Surg Engl. 2018 Aug 16:e1-e3. doi: 10.1308/rcsann.2018.0116. [Epub ahead of print]en
dc.identifier.urihttp://hdl.handle.net/20.500.12904/1359
dc.description12 month embargo on PDFen
dc.description.abstractGallstone ileus is an uncommon cause of bowel obstruction that involves cholecystoenteric fistulation and resultant passage of gallstones into the bowel. In the vast majority of cases, the fistula forms between the gallbladder and duodenum leading to small bowel obstruction. We report a case of cholecystocolic fistulation and subsequent large-bowel obstruction in a 75-year-old woman who presented acutely after taking a bowel preparation for an outpatient colonoscopy during the course of an investigation of anaemia and nonspecific abdominal pain. Preintervention imaging revealed a giant gallstone at the rectosigmoid junction, in the presence of a cholecystocolic fistula, and subsequent large bowel obstruction. After a failed period of expectant management, laparotomy and Hartmann's procedure were performed and the patient made an uneventful recovery.en
dc.language.isoenen
dc.subjectEmergency Surgeryen
dc.subjectGallstonesen
dc.subjectIntestinal Obstructionen
dc.subjectLaparotomyen
dc.titleA curious case of cololithiasis.en
dc.typeArticleen


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