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Rectosigmoid gallstone coleus: a rare emergency presentation
William Robert Ball1, Mohamed Elshaieb, Michael Jeremy Hershman
1Department of Surgery, University Hospital North Staffordshire, Stoke-on-Trent, UK.
BMJ Case Reports
|November 15, 2013
Summary
This case report details a rare instance of gallstone ileus and gallstone coleus in the same patient during a single admission. The patient
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gallstone ileus is a rare complication of gallstones.
- Gallstone coleus, impaction in the colon, is even rarer.
Observation:
- An elderly woman presented with symptoms of gallstone ileus and cholecystitis.
- A subsequent presentation revealed a large gallstone causing colonic obstruction (gallstone coleus).
Findings:
- The patient experienced both gallstone ileus and gallstone coleus from the same gallstone during one hospital admission.
- Surgical intervention was required to retrieve the impacted gallstone and form a colostomy.
Implications:
- This case highlights the extreme rarity of concurrent gallstone ileus and coleus.
- It underscores the importance of considering unusual presentations of gallstone disease.
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