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Unusual association of diseases/symptoms
An unusual cause of a non-functioning stoma in an 87-year-old gentleman
  1. Itunuayo V Ayeni,
  2. Nicholas J Williams
  1. Department of General Surgery, William Harvey Hospital, Ashford, Kent, UK
  1. Correspondence to Dr Itunuayo V Ayeni, iv.ayeni{at}

Gallstone ileus is a rare but significant cause of intestinal obstruction particularly among the elderly population. Symptoms are often vague and therefore a high suspicious index is required for successful diagnosis. In this report, we present the case of an 87-year-old gentleman with a background history of cholelithiasis and ileostomy for ulcerative colitis who was admitted with a 24-h history of his stoma not functioning. He had an abdominal x-ray and CT which were consistent with small bowel obstruction with no identifiable cause. He underwent an examination of his stoma under general anaesthesia which revealed a 2.5 cm gallstone wedged several centimetres near the entry point of the stoma. The purpose of this report is to highlight the importance of considering gallstones as a potential cause of a non-functioning stoma in any patient with a significant history of cholelithiasis.

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