Enterolith small-bowel obstruction caused by jejunal diverticulosis: Report of a case

Eleni I Efremidou, Nikolaos Liratzopoulos, Michalis S Papageorgiou, George Kouklakis, Georgios J Minopoulos, Konstantinos J Manolas
Surgery Today 2006, 36 (11): 1003-6
We report the successful surgical treatment of intestinal obstruction caused by enteroliths formed in jejunal diverticula. A 78-year-old man with bowel obstruction of unknown etiology was initially managed conservatively, but suffered recurrence of the obstruction. Thus, we performed a laparotomy, which revealed multiple diverticula in the jejunum, with one enterolith inside a diverticulum and one enterolith in the terminal ileum. There was no abnormal communication between the gallbladder and the intestinal tract, excluding the possibility of a gallstone ileus. The stone in the terminal ileum could not be broken manually, so we performed an enterotomy to remove the stones. Intestinal obstruction caused by enteroliths in small-bowel diverticula is a rare event, which is difficult to diagnose and manage. To our knowledge, only 35 such cases have ever been reported.

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