Radiological Significance of Primary Enterolithiasis

Brettner, Alfred; Euphrat, Edwin J.

doi:10.1148/94.2.283

Cited by 26 publications

(21 citation statements)

References 13 publications

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“…Enteroliths complicating Crohn's disease are rare, with only a few cases documented in the literature [2][3][4][5][6]. In all of them, enteroliths occurred in areas of stasis proximal to a stricture, and the patients presented with signs and symptoms of intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

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Enterolith Small-Bowel Obstruction Caused by Crohn's Disease

Akagi

Miyashita

Hashimoto

et al. 2009

Scholarly Research Exchange

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We herein report on the successful surgical treatment of Crohn's disease with enteroliths formed in the ileum. A 58-year-old man presented with abdominal colicky pain, and long-standing constipation. He was diagnosed as ileus due to enteroliths and was initially managed conservatively, but improvement was not observed either clinically or on radio imaging. We, therefore, performed a laparotomy, which revealed Crohn's disease with enteroliths in the ileum. Because the enteroliths in the ileum were not mobile and could not be broken manually, we carried out a segmental bowel resection with the removal of the enteroliths. The pathology report revealed Crohn's disease with enteroliths. Intestinal obstruction caused by enteroliths associated with Crohn's disease occurs rarely, and is difficult to be diagnosed and managed.

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Section: Discussionmentioning

confidence: 99%

“…This phenomenon is usually seen in the small bowel, although enterolith may occasionally develop proximal to colonic stricture with or without Crohn's disease [4][5][6]. Enterolith formation in the small bowel is thought to be secondary to hypomotility or stasis [7].…”

Section: Discussionmentioning

confidence: 99%

Enterolith Small-Bowel Obstruction Caused by Crohn's Disease

Akagi

Miyashita

Hashimoto

et al. 2009

Scholarly Research Exchange

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“…A radiografi a simples de abdome revelou 88 % dos enterolitos de divertículo de Meckel em estudo restrospectivo, sendo que desses 57% se localizavam em fossa ilíaca direita, 14% em fossa ilíaca esquerda, 14% em região pélvica central e 14% em quadrante superior direito do abdome 27 . A mobilidade do(s) enterolito(s) com a mudança de decúbito pode auxiliar no diagnóstico 5 . Além disso, a radiografi a simples de abdome é importante no diagnóstico de obstrução intestinal independente de sua etiologia.…”

Section: Discussionunclassified

Obstrução intestinal devido a enterolitos em divertículo de Meckel: relato de caso

Neto¹,

Hinkel²,

Doi

et al. 2007

Rev. Med. (São Paulo)

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RESUMO:Divertículo de Meckel (DM) é uma patologia congênita relativamente comum, subdiagnosticada porque raramente apresenta sintomas. A maior parte dos DM sintomáticos ocorre em crianças, e se apresenta na forma de hemorragia digestiva baixa. A formação de enterolito é um evento raro no DM, pois nele raramente ocorrem as condições que se supõe necessárias à formação dos cálculos (estase e meio alcalino). A presença de enterolitos em DM está associada a óstio estreito (favorecendo estase) e ausência de mucosa gástrica (possibilitando o desenvolvimento de meio alcalino). O quadro clínico mais comum é de dor abdominal recorrente. Os achados radiológicos incluem cálculos ao RX simples de abdome e cálculos dentro de área delimitada por parede intestinal à TC. Este relato se diferencia dos anteriores por mostrar um caso de enterolito em DM com mucosa gástrica ectópica, e grande óstio comunicando o divertículo com a luz intestinal. DESCRITORES: Artigos Médicos

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“…The clinical setting for this entity may vary from the completely asymptomatic patient to that of acute intestinal obstruction or gastrointestinal hemorrhage [1][2][3][4][5][6][7][8].…”

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confidence: 99%

“…Although the radiographic diagnosis may sometimes be obvious, the differential diagnosis is rather lengthy and includes many extraintestinal entities [2].…”

mentioning

confidence: 99%