Large bowel obstruction due to gallstone:
‘gallstone coleus’
S. Doddi, N. N. Basu, T. Kamal, T. W. Hennigan and P. Sinha
Corresponding address:
Mr S. Doddi,
Department of General Surgery,
Princess Royal University
Hospital, Orpington,
Kent, BR6 8ND, UK.
E-mail: sudeendradoddi@yahoo.com
We report the case of an 82-year-old lady who presented with large bowel obstruction. The
computed tomography scan revealed an obstructing gallstone in the sigmoid colon. At
colonoscopy the stone was seen in the sigmoid colon proximal to a diverticular stricture. After
balloon dilatation of the stricture under general anaesthesia, the stone was removed. This
approach should be the treatment of choice; only if this fails should surgical treatment be
considered.
Keywords
Colonic gallstone ileus; large bowel obstruction.
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