Colonic gallstones:a case report

BACKGROUND:Colonic gallstone is an uncommon entity with high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations,especially in the elderly population,often with multiple co-morbidities. METHOD:We present a case of 81-yea...

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Published inHepatobiliary & pancreatic diseases international Vol. 6; no. 3; pp. 324 - 325
Main Authors Mohamed, Zakir K, Balupuri, Shlok, Boobis, Leslie H
Format Journal Article
LanguageEnglish
Published Singapore 01.06.2007
Subjects
Aged
Aged, 80 and over
bowel
Cholelithiasis - diagnosis
Cholelithiasis - surgery
colonic
Colonic Diseases - diagnosis
Colonic Diseases - surgery
Female
gallstone
Humans
ileus
Intestinal Obstruction - diagnosis
Intestinal Obstruction - surgery
large
obstruction
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Summary:BACKGROUND:Colonic gallstone is an uncommon entity with high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations,especially in the elderly population,often with multiple co-morbidities. METHOD:We present a case of 81-year-old woman who had a large bowel obstruction due to colonic gallstone. RESULTS:Immediately after a cholecysto-colonic fistula was found by laporotomy,she underwent a single stage enterolithotomy,cholecystectomy and fistula closure. CONCLUSIONS:A single stage enterolithotomy,cholecys- tectomy and fistula closure is ideal for this condition. Various other surgical options in the literature are discussed.
Bibliography:Zakir K Mohamed,Shlok Balupuri and Leslie H Boobis Sunderland Royal Hospital,Sunderland,UK
33-1391/R
ObjectType-Case Study-2
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ISSN:1499-3872