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  • Title: Gallstone impacted in the rectosigmoid junction causing a biliary ileus and a sigmoid perforation.
    Author: Van Kerschaver O, Van Maele V, Vereecken L, Kint M.
    Journal: Int Surg; 2009; 94(1):63-6. PubMed ID: 20099430.
    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.
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