Mohamed Zakir K, Balupuri Shlok, Boobis Leslie H
Sunderland Royal Hospital, Sunderland, UK.
Hepatobiliary Pancreat Dis Int. 2007 Jun;6(3):324-5.
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.
We present a case of 81-year-old woman who had a large bowel obstruction due to colonic gallstone.
Immediately after a cholecysto-colonic fistula was found by laporotomy, she underwent a single stage enterolithotomy, cholecystectomy and fistula closure.
A single stage enterolithotomy, cholecystectomy and fistula closure is ideal for this condition. Various other surgical options in the literature are discussed.
