Enteroliths and multiple neuroendocrine tumours in a Meckel’s diverticulum

Dill, T.; Sugo, Ella; McManus, Brendan

doi:10.1016/j.pathol.2016.10.016

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…In the present case, the HU values of the enterolith on CT ranged from 31 to 134, and the excreted enterolith contained calcium phosphate, bilirubin calcium, and cholesterol. As biliary cholesterol and bile salts are components of bile (16), bile may have been one of the constituents of the present enterolith, consistent with a previous report (12). Furthermore, calcium phosphate is a substance formed in an alkaline environment.…”

Section: Discussionsupporting

confidence: 92%

“…They are usually encountered within diverticula or surgically created intestinal pouches, or proximal to an obstruction in the small or large bowel (11). In particular, enteroliths have been reported in approximately 50 cases of Meckel's diverticula (12). Enterolith formation is thought to be attributable to bowel hypomotility or stasis.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study noted that the non-oxyntic mucosa of the small bowel creates an alkaline environment in which calcium oxalate crystals form within the bile and other bowel contents, resulting in enteroliths (12). Reports on the histology of enteroliths have demonstrated the presence of bile salts (1,12). In the present case, the HU values of the enterolith on CT ranged from 31 to 134, and the excreted enterolith contained calcium phosphate, bilirubin calcium, and cholesterol.…”

Section: Discussionmentioning

confidence: 99%

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Cola Dissolution Therapy via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith

et al. 2019

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An 87-year-old bedridden woman developed intestinal obstruction caused by an enterolith or bezoar. Since the patient refused surgery, we administered 1,000 mL/day of cola via an ileus tube to dissolve the stone. Occlusion of the small intestine disappeared on day 6. The excreted stones contained calcium phosphate, which is typical of enteroliths. We later confirmed that the retrieved stones could be dissolved in cola (Coca-ColaⓇ, pH 1.9) as well as 0.10 and 0.010 mol/L hydrochloric acid (pH 1.0 and 2.0, respectively) and food-grade vinegar (pH 2.6). These findings suggest that the enteroliths were dissolved by an acid-base reaction.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cola Dissolution Therapy via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith

et al. 2019

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“…Previous studies reported that the bezoars contained calcium phosphate, bilirubin, and cholesterol, and the HU values on CT ranged from 31 to 134 HU. 19 Calcified and non-calcified bezoars have different reported CT values of 105 and 31 HU, respectively. 20 , 21 In our study, the bezoar CT values differed widely.…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction

et al. 2021

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Background To evaluate the clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction (BI-SBO). Methods Forty patients with BI-SBO were treated at our hospital from January 2017 to December 2019, and these patients’ clinical and computed tomography (CT) data were analyzed. Results Twenty-seven and 13 BI-SBO patients constituted the non-ST group and ST group, respectively. The clinical manifestations of BI-SBO in both groups were abdominal pain, nausea, vomiting, and lack of defecation. Comparing the non-ST vs ST groups, respectively: mean age (years): 63.15 ± 16.15 vs 60.38 ± 12.47; duration of symptoms (hours): 55.11 ± 44.08 vs 59.33 ± 72.90; mean bezoar length (cm): 5.31 ± 0.74 vs 3.72 ± 0.53; mean bezoar width (cm): 3.74 ± 0.48 vs 2.9 ± 0.64; bezoar CT maximum Hounsfield units (HU): 97.23 ± 12.36 vs 21.11 ± 7.27; total hospital stay (days): 5.56 ± 4.23 vs 7.12 ± 6.12 (mean: 8.62 ± 2.81); and total hospitalization costs (RMB): 6378.02 ± 3015.68 vs 8213.71 ± 5564.29. Mean operation time was 85.00 ± 8.90 minutes, and mean operation blood loss was 32.31 ± 19.64 mL. Bezoars were located 60 to 160 cm from the ileocecal junction. Univariate analysis demonstrated that bezoar length and width and maximum CT value were significant risk factors for surgery. Conclusion Large bezoar size and high CT values may be indications for surgery. Surgery is necessary and effective when nonsurgical treatment is ineffective.

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Meckel’s Enterolith Causing Small Bowel Obstruction: A Useful Solution to a Unique Problem

Cruz-Ku¹,

Nelson²,

R³

et al. 2021

Cureus

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Enteroliths and multiple neuroendocrine tumours in a Meckel’s diverticulum

Cited by 3 publications

References 8 publications

Cola Dissolution Therapy via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith

Cola Dissolution Therapy via Ileus Tube Was Effective for Ileus Secondary to Small Bowel Obstruction Induced by an Enterolith

Clinical characteristics and indications for surgery for bezoar-induced small bowel obstruction

Meckel’s Enterolith Causing Small Bowel Obstruction: A Useful Solution to a Unique Problem

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