title: Enterolith with enterocolic fistula: the diagnostic approach.
abstract: An enterolith is a mixed concretion formed in GIT, usually rare in humans. Primary enteroliths are formed in small bowel, typically within a diverticulum and secondary enteroliths in gallbladder. This case report highlights the presence of an enterocolic fistula; probably a postradiotherapy complication; and an enterolith without associated small bowel or colonic diverticuli. We have discussed the various diagnostic modalities used to reach a preoperative diagnosis of this rare condition. Imaging plays an important role in the detection and management of acquired gastrointestinal fistulas. The more routine use of cross-sectional imaging (especially computed tomography and magnetic resonance imaging) has altered the standard sequence of radiologic evaluation for possible fistulas, but fluoroscopic studies remain a valuable complement, especially for confirming and defining the anomalous communications.
authors: Department of Surgery, Goa Medical College, Goa, India. rsalelkar1@rediffmail.com
authors: Reshama S
authors: RS
authors: Salelkar
authors: Rajesh T
authors: RT
authors: Patil
authors: Dileep P
authors: DP
authors: Amonkar
authors: Sanjay G
authors: SG
authors: Sardessai
mesh_terms: D002137:Calculi / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003082:Colectomy / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications / Q000175:diagnosis*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014057:Tomography, X-Ray Computed