S3450 Atypical Endoscopic and Clinical Presentation of Strongyloidiasis

Abstract

bowel and dilated loops of small bowel upstream of the mass. The patient was diagnosed with primary enterolithiasis proximal to a radiation induced stricture, causing chronic recurrent partial small bowel obstruction. Two weeks later, she underwent elective robotic-assisted small bowel resection with the retrieval of a brown, green enterolith measuring 5.5x3.8x3.5 cm. The patient was discharged on post-operative day 3 without complications. Discussion: Primary enterolithiasis should be considered as a rare etiology of chronic abdominal pain and bowel obstruction in patients with pre-disposing factors that promote intestinal stasis. Treatment depends on the timely recognition of this entity and endoscopic or surgical management. With the technological advances, better patient outcomes as well mortality rates are expected.[3449] Figure 1. CT enterography showing a large lamellated intraluminal mass in the mid small bowel A) Coronal view, B) Axial view.