Enterolith obstruction of the ileum as a complication of jejunal diverticulitis. Report of a case

Abstract

A case of intestinal obstruction due to impaction of an enterolith in the distal ileum is reported. The patient had jejunal diverticulosis. One of the diverticula showed evidence of acute inflammation and another showed signs of fibrosis suggesting previous inflammation. Apparently the enterolith had been released from the acutely inflamed diverticulum. One of the diverticula contained a smaller enterolith. The impacted enterolith was removed by enterotomy and the smaller one milked into the intestine. Chemical analysis of the removed stone showed that it consisted of mainly cholic, desoxycholic and fatty acids.