title: Small bowel obstruction and perforation secondary to primary enterolithiasis in a patient with jejunal diverticulosis.
abstract: We describe a rare case of small bowel obstruction and perforation secondary to a primary enterolith in an 84-year-old female patient with jejunal diverticulosis. She underwent an emergency laparotomy, small bowel resection and primary anastomosis. Multiple jejunal diverticula and a large stone were identified at the time of operation. Analysis of the stone demonstrated mainly faecal material consistent with a true primary enterolith. A literature search of Medline and PubMed revealed three cases similar to the one described. The pathogenesis and management of enterolithiasis in jejunal diverticular disease is considered.
authors.affiliation: Department of General Surgery, North Bristol NHS Trust, Bristol, UK.
authors.forename: Baber
authors.initials: B
authors.lastname: Chaudhery
authors.forename: Peter Alexander
authors.initials: PA
authors.lastname: Newman
authors.forename: Michael Denis
authors.initials: MD
authors.lastname: Kelly
mesh_terms: D000369:Aged, 80 and over; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis*; D020347:Lithiasis / Q000150:complications / Q000175:diagnosis*