Background: A gallstone colonic ileus is a very rare condition.
Clinical case: The case is reported of an 87 year-old patient who came to the Emergency Department due to an intestinal obstruction of several days onset, which was caused by a gallstone affected sigmoid colon.
Conclusion: Colonic gallstone ileus is a rare disease that usually occurs in older patients due to the passage of large gallstone directly from the gallbladder to colon, through a cholecystocolonic fistula. It has a high morbidity and mortality.
Keywords: Cholecystitis; Cholelithiasis; Colecistitis; Colelitiasis; Cálculo biliar; Gallstone; Gallstone ileus; Obstrucción; Obstruction; Íleo biliar.
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