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Management of a Large Bowel Obstruction Secondary to a 5cm Gallstone in a Rural Setting: A Case Report
Chenyi Mao1,2,3, Jonathan Tiong2,3, James Gallagher3
1Department of Medical Education, The University of Melbourne, Melbourne, AUS.
Abstract:
We present a case of a large bowel obstruction secondary to a large impacted gallstone measuring 5cm in the sigmoid colon. Significant features include a cholecysto-colonic fistula and the presence of a perforation initially missed on imaging. Endoscopic retrieval was attempted, followed by a Hartmann's procedure. This case highlights the significance of operative management in ensuring the safe treatment of colonic gallstone ileus, especially in a rural setting.
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