Abstract
A 65-year-old woman presented to the emergency room with complaints of abdominal pain, nausea, and vomiting of less than 1-day duration. An abdominal plain x-ray (A) revealed pneumobilia and suggested obstruction of the left colon. The patient was given enemas and underwent colonoscopy. Muscular hypertrophy of the interhaustral septae and diverticula were noted in the sigmoid colon, and a large gallstone (B) was found to be occluding the lumen of the distal descending colon. The stone was grasped with a basket and withdrawn to the level of the mid sigmoid colon, but the hypertrophy of the septae prevented further extraction.
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