title: Small bowel obstruction secondary to a liberated Meckel's enterolith.
abstract: A 30-year-old woman presented with a short history of abdominal pain which rapidly progressed to absolute constipation. An abdominal radiograph demonstrated a paucity of bowel gas and a 4 cm lesion with concentric laminar calcification projected over the pelvis. A CT scan revealed a 4 cm giant Meckel's diverticulum, downstream of which a laminated mass was impacted in the lumen of the distal ileum causing small bowel obstruction. Subsequent surgery confirmed small bowel obstruction secondary to impaction of a liberated enterolith from the giant Meckel's diverticulum. The history, imaging appearances and surgical findings in this case are classical of this unusual but treatable condition.
authors.affiliation: Vias Demetriou Ltd, Oxford, UK. viasdemetriou@gmail.com
authors.forename: Vias
authors.initials: V
authors.lastname: Demetriou
authors.forename: David
authors.initials: D
authors.lastname: McKean
authors.forename: James
authors.initials: J
authors.lastname: Briggs
authors.forename: Niall
authors.initials: N
authors.lastname: Moore
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology*; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed