Plum stones: an unusual cause of ileostomy obstruction demonstrated by sonography.
Bowel obstruction is a common cause of stomal complications of ileostomy. We report a case in which sonography revealed 2 well-defined, rounded, hyperechoic structures, measuring 1.7 cm in diameter and causing dense acoustic shadowing, in the lumen of the bowel of a 3-year-old boy with a permanent end ileostomy. Endoscopy showed the structures to be freely mobile plum stones in the fluid-filled terminal ileum. This case demonstrates the usefulness of sonography in the diagnostic workup of patients with ileostomy obstruction.
Department of Radiology, Launceston General Hospital, Tasmania, Australia.
M
M
Jain
P
P
Pielage
R
R
De-Ryke
D002675:Child, Preschool; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D005638:Fruit; D006801:Humans; D007081:Ileostomy; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D014463:Ultrasonography