{
  "abstract": "Introduction and importance:: Gallstone ileus with concomitant cholecystoduodenal and cholecystocolonic fistulae is rare. This report describes the successful one-stage surgical management of a high-risk patient without preoperative computed tomography (CT) imaging.\n\nCase presentation:: A 46-year-old morbidly obese woman (BMI >45 kg/m2) with atrial fibrillation presented with symptoms of bowel obstruction for more than 2 weeks. Despite complete mechanical small-bowel obstruction, she had no perforation or ischemia. The diagnosis was confirmed by plain radiographs and an oral contrast study; CT was deferred because of acute kidney injury.\n\nClinical discussion:: At laparotomy, a large obstructing gallstone was found in the distal ileum together with a second large stone in the gallbladder at the fistula site. A single-stage procedure (enterolithotomy, fenestrating partial cholecystectomy, and primary repair of both fistulae) was performed. The patient recovered well and was discharged on postoperative day 12.\n\nConclusion:: This case illustrates that definitive one-stage surgery can yield good short-term outcomes in carefully selected high-risk patients with dual fistulae and a residual stone when clinical and basic imaging findings are concordant, even without cross-sectional imaging.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa",
    "Department of Surgery, Leratong Hospital, Johannesburg, South Africa"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Mozamil Mohamed",
      "orcid": "0000-0002-9299-8431"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Khomotsho Lekala"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Bisola M. Adewuyi"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Etshumang Daniel Molefe"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cktqdeh0hw3gj.bib",
  "cited_by": 0,
  "doi": "10.1097/rc9.0000000000001084",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13747413/",
  "id": "cktqdeh0hw3gj",
  "issns": [
    "2210-2612"
  ],
  "landing_url": "https://doi.org/10.1097/rc9.0000000000001084",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2715|Biliary and Gastrointestinal Fistulas"
    ]
  ],
  "openalex": "W7225746267",
  "pdf_url": "https://europepmc.org/articles/PMC13747413?pdf=render",
  "pmcid": "PMC13747413",
  "pmid": "43005760",
  "published": "2026-10-06",
  "publisher": "Wolters Kluwer Health",
  "ris": "https://research.draconitic.com/paper/cktqdeh0hw3gj.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T12:23:28Z",
      "native_id": "PMC13747413",
      "source": "pmc",
      "url": "https://doi.org/10.1097/rc9.0000000000001084"
    },
    {
      "first_seen": "2026-11-12T15:22:43Z",
      "native_id": "MED:43005760",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43005760"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2715|Biliary and Gastrointestinal Fistulas",
      "subfield": "general"
    }
  ],
  "title": "Gallstone ileus with concomitant cholecystoduodenal and cholecystocolonic fistulae: surgical management with enterolithotomy, fenestrating partial cholecystectomy, and primary fistula repair – a case report",
  "title_text": "Gallstone ileus with concomitant cholecystoduodenal and cholecystocolonic fistulae: surgical management with enterolithotomy, fenestrating partial cholecystectomy, and primary fistula repair – a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-13T12:24:17Z",
  "url": "https://research.draconitic.com/paper/cktqdeh0hw3gj",
  "venue": "International Journal of Surgery Case Reports",
  "versions": []
}