Enterolithiasis: An unusual cause of small intestinal obstruction

Singhal, Basant Mohan; Kaval, Sunil; Kumar, Pradeep; Singh, Chandra Prakash

doi:10.4103/2278-9596.122936

Cited by 12 publications

(13 citation statements)

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“…Enteroliths are formed in conditions contributing to hypomotility and stasis within the gastrointestinal tract [5]. These include Crohn's disease, traumatic or post-surgical strictures, anastomotic sites, and intestinal diverticulae [1,6].…”

Section: Discussionmentioning

confidence: 99%

Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Patel

Balasubramaniam

Bullen

2020

Cureus

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Small bowel obstruction is a common operative finding following an acute surgical admission. However, small bowel obstruction due to an enterolith is a rarer finding. Enteroliths are formed in conditions contributing to hypomotility and stasis within the gastrointestinal tract. These include Crohn's disease, strictures, and intestinal diverticulae. We present a case of small bowel obstruction due to an enterolith in an 89-year-old female. In our case, CT identified an inflamed jejunal diverticulum pre-operatively.

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Section: Discussionmentioning

confidence: 99%

Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Patel

Balasubramaniam

Bullen

2020

Cureus

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“…Clinician's awareness of anticipated chemical composition of the enterolith in a particular bowel segment, will increase the yield of radiologic detection and potentiate proper diagnosis. Important radiographic features of enteroliths include dense rim with pale core in oval, round, or rectangular shadows, "coin-end-on" appearance, and apparent mobility on serial examinations in relation to each other and to a fixed anatomical pathology [75] . Computed tomography (CT) scan with oral contrast may provide two or three dimensional orientation and increase the yield of detection of radiolucent stones.…”

Section: Clinical Diagnosismentioning

confidence: 99%

“…Preoperative percutaneous decompression of the afferent limb using ultrasound guidance may be indicated in Billroth Ⅱ patients [23] . Segmental small bowel resection with intended primary anastomosis should be attempted in the setting Meckel's diverticulum, long complicated strictures, diverticulitis, significant inflammation, intestinal necrosis, perforation, and enteral duplication [20,75] . Most cases described in the literature have been open procedures, although Jones et al [76] and Shah et al [91] report two cases in which resection was successfully performed laparascopically.…”

Section: Treatmentmentioning

confidence: 99%

Enterolithiasis

Gurvits¹,

Lan²

2014

WJG

194

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Enterolithiasis or formation of gastrointestinal concretions is an uncommon medical condition that develops in the setting of intestinal stasis in the presence of the intestinal diverticula, surgical enteroanastomoses, blind pouches, afferent loops, incarcerated hernias, small intestinal tumors, intestinal kinking from intra-abdominal adhesions, and stenosing or stricturing Crohn's disease and intestinal tuberculosis. Enterolithiasis is classified into primary and secondary types. Its prevalence ranges from 0.3% to 10% in selected populations. Proximal primary enteroliths are composed of choleic acid salts and distal enteroliths are calcified. Clinical presentation includes abdominal pains, distention, nausea, and vomiting of occasionally sudden but often fluctuating subacute nature which occurs as a result of the enterolith tumbling through the bowel lumen. Thorough history and physical exam coupled with radiologic imaging helps establish a diagnosis in a patient at risk. Complications include bowel obstruction, direct pressure injury to the intestinal mucosa, intestinal gangrene, intussusceptions, afferent loop syndrome, diverticulitis, iron deficiency anemia, gastrointestinal hemorrhage, and perforation. Mortality of primary enterolithiasis may reach 3% and secondary enterolithiasis 8%. Risk factors include poorly conditioned patients with significant obstruction and delay in diagnosis. Treatment relies on timely recognition of the disease and endoscopic or surgical intervention. With advents in new technology, improved outcome is expected for patients with enterolithiasis.

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“…Contrast-enhanced computerized tomogram (CECT) of the abdomen can exactly pinpoint the size and location. 4…”

Section: Introductionmentioning

confidence: 99%

Gall stone ileus in the absence of gall bladder: a case report

Beniwal¹,

Singh²,

Poonam³

et al. 2019

Int Surg J

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Post cholecystectomy gall stone ileus is very rare with only few cases reported in the literature. This condition poses diagnostic challenges both because of its rarity and since the gall bladder had been removed previously. A high index of suspicion is needed for the diagnosis. Here, we report the case of a young female presented to the emergency room with acute intestinal obstruction. Patient underwent cholecystectomy followed by LSCS 20 yrs back. Patient was managed with explorative laparotomy which revealed an adherent, fibrosed and narrow segment of ileum containing a small impacted gall stone 120 cm from ileocaecal junction. Following the Resection anastomosis the patient made a satisfactory recovery and was discharged without any complication and is doing well.

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Enterolithiasis: An unusual cause of small intestinal obstruction

Cited by 12 publications

References 0 publications

Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Enterolithiasis

Gall stone ileus in the absence of gall bladder: a case report

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