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March 1961

Gallstone Ileus of the Colon: Report of an Unusual Type of Colon Obstruction

Author Affiliations


Arch Surg. 1961;82(3):333-336. doi:10.1001/archsurg.1961.01300090003001

Acute complete mechanical large bowel obstruction presents a dramatic clinical picture and requires early definitive therapy, usually surgical, if the closed loop type of obstruction produced is to be relieved before the complications of proximal perforation or local strangulation (as in volvulus) develop, or the deleterious cardiorespiratory effects of extreme abdominal distention occur.

The usual causes of large bowel obstruction are carcinoma, volvulus of the sigmoid colon, or cecum, incarcerated hernia, and diverticulitis, which make up at least 90% of all series of case reports. Rarely, strictures related to trauma or irradiation, inflammatory diseases, extrinsic masses, foreign bodies, and adhesions may cause obstruction.

A recent case in surgical practice has illustrated an unusual type of acute colonic obstruction and seems worthy of presentation because of its rarity.

Report of a Case  The case to be reported is that of an 87-year-old white man who was first seen by me on