A case of enterolith small bowel obstruction and jejunal diverticulosis.
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).
Hayee
Buhussan
B
Department of Surgery, William Harvey Hospital, Ashford, Kent TN24, U.K.
Khan
Hamed Noor
HN
Al-Mishlab
Talib
T
McPartlin
John F
JF
D000368:Aged; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005244:Fecal Impaction / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography