Meckel's enteroliths: clinical, radiologic, and pathologic findings.

Pantongrag-Brown, Linda; Levine, Marc S.; Buetow, P C; Buck, J L; Elsayed, Al M.

doi:10.2214/ajr.167.6.8956575

Cited by 75 publications

(53 citation statements)

References 14 publications

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“…Most cases of enterolithiasis are discovered in symptomatic patients, who present with abdominal pain or small bowel obstruction; thus, the prevalence of asymptomatic enteroliths is still largely unknown. A study by PantongragBrown et al [29] in 1996 evaluated 84 patients with Meckel' s diverticulum and described 8 (10% prevalence) cases of enteroliths at the time of surgery, a much higher rate than what had been previously reported. Alternatively, a review of 1476 adult patients found to have Meckel's diverticulum during surgery in the Mayo clinic found that enteroliths were seen in 6% of symptomatic and 0.7% of asymptomatic patients at the time of surgery [30] .…”

Section: Epidemiologymentioning

confidence: 90%

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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Section: Epidemiologymentioning

confidence: 90%

Enterolithiasis

Gurvits¹,

Lan²

2014

WJG

194

View full text Add to dashboard Cite

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“…However, stasis may still occur if a flap of diverticular mucosa functions like a one-way valve and prevents drainage of contents [3]. In addition, the presence of inflammation and oedema around the neck of the diverticulum may lead to narrowing of the opening and decrease drainage precipitating the formation of calculi [5]. …”

Section: Discussionmentioning

confidence: 99%

“…Radiological investigations such as plain abdominal radiograph, sonography and computed tomography may be used to assist the diagnosis of symptomatic Meckel's diverticulum but, in practice, the rarity of the enteroliths means that they are often unreported [5]. Scintigraphic ( 99 Tc m -pertechnetate) localisation of gastric mucosa may be used to facilitate the diagnosis of Meckel's diverticulum [8].…”

Section: Discussionmentioning

confidence: 99%

Gangrene due to axial torsion of a Giant Meckel's Diverticulum containing multiple stones in the lumen: a case report

et al. 2009

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Meckel's diverticulum is the most common congenital anomaly of the small intestine. Common complications related to a Meckel's diverticulum include haemorrhage, intestinal obstruction and inflammation. Gangrene due to axial torsion and enteroliths of a Meckel's diverticulum are the rarest complications that have been reported in the literature. We report a case of gangrene due to axial torsion of giant Meckel's diverticulum with multiple stones in its lumen.

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“…In patients with intestinal obstruction, simple abdominal x-ray may show an enterolith in the lower right quadrant of the image (12). Usually, CT does not accurately show the presence of DM as a cause of obstruction; therefore, presence of DM as the cause of the obstruction is usually confirmed during surgery.…”

Section: A B Cmentioning

confidence: 99%

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

Méndez-García

Suárez-Grau

Rubio-Chaves

et al. 2011

Rev. esp. enferm. dig.

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Objective: we want to present our experience about surgical pathology of Meckel's diverticulum by means of a retrospective study.Material and methods: we report a group of patients of our Department of General and Abdominal Surgery and Paediatric Surgery of our Hospital with Meckel's diverticulum since January of 1997 to January of 2010. We report the clinical presentation, complementary test, interventions, and the postoperative follow up.Results: 45 patients were operated in total, 33 of them in emergency surgery under the clinical form of acute abdominal pain; and the others 12 in programmed surgery, these cases came up more frequently like a clinical manifestations of latent abdominal pain, rectal bleeding and anaemia. The complementary tests were so varied; abdominal ultrasounds were used in 63% of emergency cases and the 40% of programmed cases, in these patients, gammagraphy with Tc99 was the second test in frequency. Laparoscopy was used in 10 cases (22%). The main surgery technique used was diverticulectomy (82%).Conclusions: the presence of Meckel's diverticulum has to be clinically suspected in all patients with abdominal pain of unknown aetiology. Access to the abdominal cavity using routine laparoscopy provides essential information on the diagnosis and for the treatment.

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Meckel's enteroliths: clinical, radiologic, and pathologic findings.

Cited by 75 publications

References 14 publications

Enterolithiasis

Enterolithiasis

Gangrene due to axial torsion of a Giant Meckel's Diverticulum containing multiple stones in the lumen: a case report

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

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