A case of enterolith small bowel obstruction and jejunal diverticulosis

Buhussan Hayee, Hamed Noor Khan, Talib Al-Mishlab, John F McPartlin
World Journal of Gastroenterology: WJG 2003, 9 (4): 883-4
We reported a case of 79-year old woman with known large bowel diverticulosis presenting with small bowel obstruction due to stone impaction - found on plain abdominal X-ray. Contrast studies demonstrated small bowel diverticulosis. At laparotomy, the gall bladder was normal with no stones and no abnormal communication with small bowel - excluding the possibility of a gallstone ileus. Analysis of the stone revealed a composition of bile pigments and calcium oxalate. This was a rare case of small bowel obstruction due to enterolith formation - made distinctive by calcification (previously unreported in the proximal small bowel).

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