Enterolith ileus due to jejunal diverticulosis.
Jejunal diverticulosis is a rare malformation that is often asymptomatic. Complications might be similar to those occurring in large-bowel diverticula but also include a much more particular event: intestinal obstruction due to migration and impaction of enterolith formed inside diverticula. This is a very uncommon entity; diagnosis and management are thus often delayed. Mostly surgical exploration is necessary because obstruction symptoms are unresponsive to medical treatment. The authors report a new case of enterolith ileus in a 74-year-old man, due to jejunal diverticulosis, and its successful surgical management in emergency. Only 39 similar cases have ever been reported in the literature.
Monchal
Tristan
T
Department of Digestive Surgery, Sainte Anne Military Teaching Hospital, Toulon, France. tristan.monchal@free.fr
Hornez
Emmanuel
E
Bourgouin
Stéphane
S
Sbardella
Fabrice
F
Baudoin
Yoann
Y
Butin
Christophe
C
Salle
Etienne
E
Thouard
Hervé
H
D000368:Aged; D003287:Contrast Media; D003937:Diagnosis, Differential; D003974:Diatrizoate Meglumine; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020347:Lithiasis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods
D003287:Contrast Media; D003974:Diatrizoate Meglumine