title: Gallstone impacted in the rectosigmoid junction causing a biliary ileus and a sigmoid perforation.
abstract: A gallstone ileus is an unusual form of bowel obstruction. Colonic gallstone ileus is rare, difficult to diagnose, and still has a high mortality rate. We present a case of biliary ileus caused by an impacted gallstone, causing necrosis and perforation of the rectosigmoid junction. A Hartmann's procedure was performed to treat the perforation and the obstruction. Cholecystectomy and closure of the cholecysto-colonic fistula were delayed until restoration of the intestinal continuity.
authors.affiliation: Sint Lucas, Gent, Belgium.
authors.forename: O
authors.initials: O
authors.lastname: Van Kerschaver
authors.forename: V
authors.initials: V
authors.lastname: Van Maele
authors.forename: L
authors.initials: L
authors.lastname: Vereecken
authors.forename: M
authors.initials: M
authors.lastname: Kint
mesh_terms: D000368:Aged; D002763:Cholecystectomy; D003937:Diagnosis, Differential; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed