A case of gallstone ileus with sigmoid colon perforation

Abstract

A 71-year-old man was admitted to our hospital, complaining of progressively worsening abdominal pain. An abdominal CT examination demonstrated ascites, free air, and a gallstone in the sigmoid colon. The patient underwent emergency laparotomy under a diagnosis of panperitonitis with a perforation associated with gallstone ileus. Operative findings showed a perforation and an impacted stone in the sigmoid colon. A sigmoid colectomy and loop ileostomy were performed. Despite being in a state of sepsis shock, the patient recovered and was discharged.