[Multiple enterolithiasis, coexisting with bladder and gallbladder lithiasis, associated with colon adenocarcinoma].
Enteroliths are calculi primarily formed in the intestine. Enterolithiasis is a rare condition frequently associated with intestinal stasis. Usually it causes no symptoms in most cases, but it can be an important diagnostic clue in patients presenting intestinal occlusive symptoms. We report a case of multiple enterolithiasis, very infrequent pathology, coexisting with bladder and gall bladder lithiasis in a patient with colon adenocarcinoma. Diagnosis was made by X-rays and CT images. Calculi were analysed by several methods: chemical, infrared spectroscopy, stereoscopic microscopy and atomic emission spectroscopy; they showed that caluli are made up of organic material and whilokita (calcium and magnesium ortophosphate). No risk factors for lithogenesis were found in this patient excluding the intestinal stasis caused by intestinal narrowing as a result of adenocarcinoma. Genetic factors are suggested as main contributors to hyperlithogenesis observed in this patient. The physiopathological conditions were studied in depth and literature about this subject reviewed.
Area de Diagnóstico Biológico, Hospital de la Ribera, Alzira, Valencia. jaorts@hospital-ribera.com
J A
JA
Orts
L
L
Morell
J
J
Camps
M L
ML
Traba
A
A
Belenguer
A
A
Guerrero
D015746:Abdominal Pain / Q000209:etiology; D000230:Adenocarcinoma / Q000150:complications* / Q000235:genetics; D000368:Aged; D000369:Aged, 80 and over; D002118:Calcium / Q000032:analysis; D002137:Calculi / Q000737:chemistry / Q000150:complications* / Q000235:genetics; D002429:Cecal Diseases / Q000150:complications / Q000235:genetics; D002769:Cholelithiasis / Q000737:chemistry / Q000150:complications* / Q000235:genetics; D003110:Colonic Neoplasms / Q000150:complications* / Q000235:genetics; D004108:Dilatation, Pathologic / Q000209:etiology; D020022:Genetic Predisposition to Disease; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000235:genetics; D007410:Intestinal Diseases / Q000150:complications* / Q000235:genetics; D007579:Jejunal Diseases / Q000150:complications / Q000235:genetics; D008274:Magnesium / Q000032:analysis; D008297:Male; D010758:Phosphorus / Q000032:analysis; D001744:Urinary Bladder Calculi / Q000737:chemistry / Q000150:complications* / Q000235:genetics
D010758:Phosphorus; D008274:Magnesium; D002118:Calcium