Colon obstruction due to gallstone ileus is a rare situation as the most common site of obstruction is the small bowel.
A 72-year-old woman presented with cholelitiasis and bowel obstruction. CT scan demonstrated a gallstone impacted in the sigmoid colon as well as a cholecystocolonic fistula. Due to the unavailability of the endoscopy unit, endoscopy was ruled out, and the patient underwent urgent surgery. Laparoscopic cholecystectomy was postponed due to inflammation involving the omentum and colon. The gallstone was identified in the sigmoid colon, and colotomy on the taenia coli was performed to extract the gallstone (Fig. 1). The colon was sutured transversally with a 3.0 absorbable barbed suture (Video 1). The postoperative course was uneventful.
Minimally invasive approach is safe and provides benefits for patients.
CRediT authorship contribution statementEugenio Licardie: study designs, data acquisition, analysis and interpretation of results, manuscript preparation, critical revision and approval of the final version of the manuscript.
Andrea Balla: study designs, data acquisition, analysis and interpretation of results, manuscript preparation, critical revision and approval of the final version of the manuscript.
José Antonio López-Ruiz: study designs, data acquisition, analysis and interpretation of results, manuscript preparation, critical revision and approval of the final version of the manuscript.
Salvador Morales-Conde: study designs, data acquisition, analysis and interpretation of results, manuscript preparation, critical revision and approval of the final version of the manuscript.
Ethics statementConsent was obtained from the patient. No local ethics committee was needed.
Funding informationThis research did not receive any grants or funding.
Data availabilityData sharing not applicable to this article as no datasets were generated or analysed during the current study.
