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| Colonic gallstones: a case report |
| Zakir K Mohamed, Shlok Balupuri and Leslie H Boobis |
Sunderland, UK
Author Affiliations: Sunderland Royal Hospital, Sunderland, UK (Mohamed ZK, Balupuri S and Boobis LH)
Corresponding Author: Zakir K Mohamed, 4 Crosslea Avenue, Tunstall, Sunderland, SR3 1LR, UK (Tel: +44-7743-816712; Fax: +44- 191-569903; Email: zakirkm@yahoo.com) |
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Abstract 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.
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2007, Vol. 6 
