Intermittent small bowel obstruction by jejunal enteroliths in a patient with a Crohn's disease stricture.
Small bowel obstruction is most frequently due to postoperative or inflammatory adhesions, intestinal neoplasms, hernias, or bezoars. Intermittent small bowel obstruction may be secondary to a Crohn's disease stricture or to chronic adhesive peritonitis. Enterolithiasis, usually associated with jejunal diverticulosis or with a Meckel diverticulum, should be considered in patients who have not previously undergone abdominal surgical procedures. X-ray evidence of stones in the abdominal field, outside the common sites, i.e. gallbladder, kidney, bladder, should suggest a diagnosis of enterolithiasis. The authors report a case of multiple enteroliths in a patient with a segmental ileal stricture and ulcerations (diagnosed as Crohn's disease) causing frequent, intermittent occlusive symptoms, treated by segmental ileal resection.
Bruni
Roberto
R
U.O. di Chirurgia Generale e d'Urgenza Policlinico Casilino Azienda U.S.L. RM B, Roma.
Chirco
Luigi
L
Lemeni
Alessandro Rossi
AR
Petrocca
Sergio
S
D002137:Calculi / Q000150:complications*; D003424:Crohn Disease / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000150:complications*; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012008:Recurrence