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.


METHODS
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, cholecystectomy and fistula closure is ideal for this condition. Various other surgical options in the literature are discussed.
Mohamed
Zakir K
ZK
Sunderland Royal Hospital, Sunderland, UK. zakirkm@yahoo.com
Balupuri
Shlok
S
Boobis
Leslie H
LH
D000368:Aged; D000369:Aged, 80 and over; D002769:Cholelithiasis / Q000175:diagnosis* / Q000601:surgery; D003108:Colonic Diseases / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000601:surgery