title: An unusual enterolith ileus.
abstract: The duodenum is an uncommon location of diverticula in the digestive tract, and they are often asymptomatic. Formation of an enterolith inside diverticula has been previously described, although it is a rare condition. In this context, intestinal obstruction due to distal migration of foreign bodies is extremely rare. We report a case of an 86-year-old woman with obstructive symptoms due to a jejunal foreign body that had migrated from a duodenal diverticulum. An emergency laparotomy was performed to extract a phytobezoar. Enterolith ileus secondary to duodenal diverticula is an exceptional entity. Diagnosis and management are usually delayed because of a non-specific presentation, and early surgical exploration is required for bowel disimpaction. This condition should be considered in elderly patients with prolonged immobilization or neurodegenerative diseases.
authors.affiliation: Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, España.
authors.forename: Ismael
authors.initials: I
authors.lastname: Mora-Guzmán
authors.affiliation: Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Muñoz de Nova
authors.affiliation: Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Rodríguez Sánchez
mesh_terms: D000369:Aged, 80 and over; D001630:Bezoars / Q000000981:diagnostic imaging / Q000601:surgery; D004240:Diverticulum / Q000000981:diagnostic imaging; D004378:Duodenal Diseases / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D045823:Ileus / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D020347:Lithiasis / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed