A Petrifying Bowel Movement: a non-operative assistance to nature's resolution of colonic gallstone obstruction?
| Journal | Volume 80 - 2017 |
| Issue | Fasc.2 - Letters |
| Author(s) | Emanuel Shapera, Richard Miskimins, James Verlanic, Anthony Vigil |
| Full article |
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| (1) Department of Surgery, University of New Mexico School of Medicine ; (2) Department of Surgery, University of New Mexico School of Medicine ; (3) Department of Surgery, University of New Mexico School of Medicine ; (4) Department of Surgery, Associate Professor, Assistant Clerkship Director, University of New Mexico School of Medicine. |
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Gallstones are a rare cause of intestinal obstruction (1-4%) (1) with 2-8% involving the colon (2). A stone is usually over 2cm, 4cm if no stricture or other mass is present (2). Commoner diseases such as malignancy should be considered first. We present a case report of non-operative resolution. A 71 year old male with five days of abdominal pain, emesis and loose stools presents to the ER. The remainder of his history is unremarkable. On exam, he was vitally normal, distended and without peritonitis. Rectal exam demonstrated an enlarged prostate. |
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© Acta Gastro-Enterologica Belgica. PMID 29560704 |
