Case Report
Radiological diagnosis of gallstone sigmoid ileus or coleus: Case report and literature review
Submitted: 02 March 2025 | Published: 19 August 2025
About the author(s)
Suman Mewa Kinoo, Department of Surgery, Faculty of Medicine, University of KwaZulu-Natal, Durban, South Africa; and Department of Surgery, Victoria Mxenge Hospital, Durban, South AfricaVanesha Naidu, Department of Radiology, Faculty of Medicine, University of KwaZulu-Natal, Durban, South Africa; and Department of Radiology, Victoria Mxenge Hospital, Durban, South Africa
Jaynund Maharajh, Department of Radiology, Faculty of Medicine, University of KwaZulu-Natal, Durban, South Africa; and Department of Radiology, Victoria Mxenge Hospital, Durban, South Africa
Abstract
Gallstone ileus is a mechanical bowel obstruction caused by a gallstone within the intestinal tract. It occurs secondary to a fistulous communication between the gallbladder and intestine and commonly causes a small bowel obstruction termed gallstone ileus. It rarely causes a large bowel obstruction termed gallstone sigmoid ileus (GSI) or gallstone coleus.
Contribution: A case of gallstone sigmoid ileus with typical plain radiography and CT scan findings and a review of different imaging modalities for this condition.
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