title: Enterolith small-bowel obstruction caused by jejunal diverticulosis: Report of a case.
abstract: We report the successful surgical treatment of intestinal obstruction caused by enteroliths formed in jejunal diverticula. A 78-year-old man with bowel obstruction of unknown etiology was initially managed conservatively, but suffered recurrence of the obstruction. Thus, we performed a laparotomy, which revealed multiple diverticula in the jejunum, with one enterolith inside a diverticulum and one enterolith in the terminal ileum. There was no abnormal communication between the gallbladder and the intestinal tract, excluding the possibility of a gallstone ileus. The stone in the terminal ileum could not be broken manually, so we performed an enterotomy to remove the stones. Intestinal obstruction caused by enteroliths in small-bowel diverticula is a rare event, which is difficult to diagnose and manage. To our knowledge, only 35 such cases have ever been reported.
authors.affiliation: First Department of Surgery, University General Hospital of Alexandroupolis, Medical School of Democritus, University of Thrace, Dragana, 68100, Alexandroupolis, Greece.
authors.forename: Eleni I
authors.initials: EI
authors.lastname: Efremidou
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Liratzopoulos
authors.forename: Michalis S
authors.initials: MS
authors.lastname: Papageorgiou
authors.forename: George
authors.initials: G
authors.lastname: Kouklakis
authors.forename: Georgios J
authors.initials: GJ
authors.lastname: Minopoulos
authors.forename: Konstantinos J
authors.initials: KJ
authors.lastname: Manolas
mesh_terms: D000368:Aged; D002137:Calculi / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007813:Laparotomy; D008297:Male; D014057:Tomography, X-Ray Computed