Enterolithiasis is an uncommon medical condition. It's defined by the formation of gastrointestinal concretion in the setting of intestinal stasis. Enteroliths are typically incidentally discovered during imaging and are a rare cause of acute small bowel obstruction. We report the case of acute small bowel obstruction, secondary to primary true enterolithiasis, in a 73-year-old male, with unremarkable medical history. He presented with clinical features in keeping with acute small bowel obstruction, for 2 days. An abdominal contrast-enhanced CT scan suggested a small bowel obstruction caused by a 32mm diameter enterolith located in the terminal ileum. The surgical management was successful and consisted of the removal of the enterolith after enterotomy.

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Lipomatous pseudohypertrophy (LPH) of the pancreas is an uncommon affection of exocrine pancreatic insufficiency. It is defined as substitution of the pancreatic exocrine gland by a large fat component. We report the case of a young patient with malabsorption syndrome (chronic diarrhoea and steatorrhoea), abnormal laboratory results and normal fibroscopy. Computed tomography revealed characteristic diffuse pancreatic abnormalities.