Evidence map›Paper›PMID 38466460›Full record

ArticleDigestive diseases and sciences2024

Like a Rolling (Gall)Stone: Optimal Treatment of Gallstone Obstruction of the Sigmoid Colon.

Antonio Pesce, Augusto Lauro, Costanza Gonella Pacchiotti, Vito D'Andrea, Nicolò Fabbri, Mario Bertasi, Carlo Vittorio Feo

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Antonio PesceUnit of General Surgery, Department of Surgery, "Azienda Unità Sanitaria Locale" of Ferrara, University of Ferrara, Via Valle Oppio, 2, 44023, Lagosanto, FE, Italy. nino.fish@hotmail.it.
Augusto LauroDepartment of Surgery, "Sapienza" University of Rome, V.Le Regina Elena 324, 00161, Rome, Italy.
Costanza Gonella PacchiottiUnit of General Surgery, Department of Surgery, "Azienda Unità Sanitaria Locale" of Ferrara, University of Ferrara, Via Valle Oppio, 2, 44023, Lagosanto, FE, Italy.
Vito D'AndreaDepartment of Surgery, "Sapienza" University of Rome, V.Le Regina Elena 324, 00161, Rome, Italy.
Nicolò FabbriUnit of General Surgery, Department of Surgery, "Azienda Unità Sanitaria Locale" of Ferrara, University of Ferrara, Via Valle Oppio, 2, 44023, Lagosanto, FE, Italy.
Mario BertasiUnit of General Surgery, Department of Surgery, "Azienda Unità Sanitaria Locale" of Ferrara, University of Ferrara, Via Valle Oppio, 2, 44023, Lagosanto, FE, Italy.
Carlo Vittorio FeoUnit of General Surgery, Department of Surgery, "Azienda Unità Sanitaria Locale" of Ferrara, University of Ferrara, Via Valle Oppio, 2, 44023, Lagosanto, FE, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSigmoid gallstone ileus is a rare complication of cholelithiasis, accounting for 1-4% of all cases of large-bowel obstruction. This is a highly morbid, and often fatal, condition due to its challenging diagnosis and late presentation. CASE PRESENTATION: We report a case of a 90-year-old woman admitted to Emergency Department with abdominal pain and large-bowel obstruction due to a 6 cm gallstone lodged in a diverticulum of the proximal sigmoid colon as a consequence of a cholecysto-colonic fistula. Colonoscopy was deferred due to gallstone size carrying a high possibility of failure. The patient underwent urgent laparotomy with gallstone removal via colotomy. The cholecystocolonic fistula was left untreated. The post-operative course was uneventful; the patient was discharged on 6th post-operative day.

conclusionA multidisciplinary discussion between endoscopists and surgeons is often needed to choose the best therapeutic option, especially in high-risk patients.

Indexed as

GallstonesAged, 80 and overColon, SigmoidFemaleHumansIntestinal FistulaIntestinal ObstructionSigmoid DiseasesCholecysto-colonic fistulaEndoscopic retrievalEnterolithotomyGallstone ileus

Identifiers

PMID38466460
PMCPMC11098863

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.