BMJ Case Reports 2017; doi:10.1136/bcr-2017-220898
  • Reminder of important clinical lesson

Colonic gallstone ileus

  1. Michael Fina
  1. Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
  1. Correspondence to Dr Jared Rejeski, jarejesk{at}
  • Accepted 26 September 2017
  • Published 10 October 2017


Gallstone ileus is a rare aetiology of bowel obstruction and very infrequently occurs in the colon. Typically, colonic gallstone ileus carries a high morbidity and mortality and requires surgery. This case report describes a cholecystocolonic fistula in a patient with ulcerative colitis with resulting colonic gallstone ileus, which was successfully intervened on via an endoscopic approach.


  • Contributors JR, LS, BM and MF all made substantial contributions to the conception and design, acquisition of data and interpretation of the data. JR, LS, BM and MF all made substantial contributions to drafting the article and revising it critically for important intellectual content. JR, LS, BM and MF all verified their final approval of the version published. JR, LS, BM and MF all agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. All authors were also involved in the care of the patient. JR is the article guarantor.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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