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Case Reports
. 2003 Apr;9(4):883-4.
doi: 10.3748/wjg.v9.i4.883.

A case of enterolith small bowel obstruction and jejunal diverticulosis

Buhussan Hayee  1 , Hamed Noor Khan, Talib Al-Mishlab, John F McPartlin
Affiliations
Case Reports

A case of enterolith small bowel obstruction and jejunal diverticulosis

Buhussan Hayee et al. World J Gastroenterol. 2003 Apr.

Abstract

We reported a case of 79-year old woman with known large bowel diverticulosis presenting with small bowel obstruction due to stone impaction - found on plain abdominal X-ray. Contrast studies demonstrated small bowel diverticulosis. At laparotomy, the gall bladder was normal with no stones and no abnormal communication with small bowel - excluding the possibility of a gallstone ileus. Analysis of the stone revealed a composition of bile pigments and calcium oxalate. This was a rare case of small bowel obstruction due to enterolith formation - made distinctive by calcification (previously unreported in the proximal small bowel).

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Figures

Figure 1
Figure 1
Radio-opaque stone was clearly seen in the plain abdominal radiograph (arrow).
Figure 2
Figure 2
Contrast study (105 mins) demonstrated multiple jejunal diverticula and minimal passage of barium beyond the mid-jejunum. Stone was still visible (arrow).
See this image and copyright information in PMC

References

    1. NOER T. Non-Meckelian diverticula of the small bowel. The incidence in an autopsy material. Acta Chir Scand. 1960;120:175–179. - PubMed
    1. Longo WE, Vernava AM. Clinical implications of jejunoileal diverticular disease. Dis Colon Rectum. 1992;35:381–388. - PubMed
    1. Sibille A, Willocx R. Jejunal diverticulitis. Am J Gastroenterol. 1992;87:655–658. - PubMed
    1. Yang HK, Fondacaro PF. Enterolith ileus: a rare complication of duodenal diverticula. Am J Gastroenterol. 1992;87:1846–1848. - PubMed
    1. Ishizuka D, Shirai Y, Hatakeyama K. Duodenal obstruction caused by gallstone impaction into an intraluminal duodenal diverticulum. Am J Gastroenterol. 1997;92:182–183. - PubMed

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