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Colonic Perforation Secondary to Gallstone Impaction in the Sigmoid Colon.

Paschalis GavriilidisAbhilash Paily
Published in: Case reports in surgery (2023)
Patients with early diagnosed uncomplicated sigmoid gallstone ileus can be managed with endoscopic mechanical lithotripsy. In case of failure, open or laparoscopic enterolithotomy can be applied. However, when patients present with complications, surgery should not be delayed. In our case, Hartmann's procedure was an absolute indication due to sigmoid perforation and widespread feculent peritonitis.
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