Enterolithiasis: An unusual cause of large bowel obstruction, a case report

Molla, Yohannis Derbew; Tassew, Mequanint Tiruneh; Abebe, Temesgen Agegnehu; Gete, Amare Getachew

doi:10.1016/j.ijscr.2023.107889

Cited by 2 publications

(6 citation statements)

References 11 publications

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“…The true primary enteroliths reported in recent literatures were all located in the distal small intestine, with high-density calcification. [4][5][6][12][13][14][15][16][17] This is because they may Figure 2. CT scans in the coronal and axial planes show five primary enteroliths that appear to be unevenly low-density with a mottled gas appearance (arrow).…”

Section: Ct Plays a Crucial Role In The Diagnosis Of Sbo Caused By En...mentioning

confidence: 99%

“…[4] However, the sensitivity of plain abdominal roentgenograms for detecting enteroliths is low, and their ability to locate obstructions is imprecise. [5] Computed tomography (CT) may provide 2-or 3-dimensional imaging and increase the detection yield of radiolucent stones. CT scans may also help in identifying the number of enteroliths, their exact location, and narrowing the focus to the culprit stone.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, studies of enteroliths causing SBO have mostly been isolated case series or reports in the recent literature. [4][5][6][7][8] Thus, we attempted to identify the CT signs of enterolithic ileus confirmed by surgery in 7 patients and the differences between the 2 types of enteroliths. The results of this study will hopefully provide a basis for CT signs to accurately predict SBO caused by enteroliths.…”

Section: Introductionmentioning

confidence: 99%

“…[4] However, the sensitivity of plain abdominal roentgenograms for detecting enteroliths is low, and their ability to locate obstructions is imprecise. [5]…”

Section: Introductionmentioning

confidence: 99%

“…In addition, studies of enteroliths causing SBO have mostly been isolated case series or reports in the recent literature. [4–8]…”

Section: Introductionmentioning

confidence: 99%

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The role of computed tomography in enterolith causing small bowel obstruction: A case series

Zhang,

Xie,

Liu

2023

Medicine

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Intestinal obstruction caused by enteroliths is an uncommon medical condition. Timely detection of the presence of enteroliths and identification of their origin can guide clinical treatment. This study aimed to present the Computed Tomography (CT) features of enterolithic ileus confirmed by surgery in 7 patients. Seven patients with surgically confirmed enterolithic ileus who were admitted to our hospital between December 2013 and December 2022 were continuously enrolled, and an abdominopelvic CT examination was performed before surgery. The imaging characteristics were then analyzed. In the transition zone of all patients with intestinal obstruction, the sharply defined intraluminal masses were found. Three of them had gallstones and 4 had primary enteroliths. All 5 enteroliths in the 4 patients with primary enteroliths were in the proximal small intestine and were low-density with gas. Additionally, 3 gallstones were present in the distal small bowel, and calcifications were observed. Simultaneously, cholecystitis and secondary cholecystoduodenal fistula were observed in all 3 patients with gallstones. Compared to gallstones, primary enteroliths tend to be higher positioned, less dense, and accompanied by gas. CT examination is very important, as it allows accurate identification, location, diagnosis, and identification of complications of the different types of enteroliths to provide a basis for surgery.

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Section: Ct Plays a Crucial Role In The Diagnosis Of Sbo Caused By En...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[4] However, the sensitivity of plain abdominal roentgenograms for detecting enteroliths is low, and their ability to locate obstructions is imprecise. [5]…”

Section: Introductionmentioning

confidence: 99%

“…In addition, studies of enteroliths causing SBO have mostly been isolated case series or reports in the recent literature. [4–8]…”

Section: Introductionmentioning

confidence: 99%

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The role of computed tomography in enterolith causing small bowel obstruction: A case series

Zhang,

Xie,

Liu

2023

Medicine

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Enterolithiasis in a Patient With Prior Bowel Resection

Willis,

Dorn

2024

Cureus

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Enterolithiasis is the development of intestinal stones, thought to be related to conditions that predispose to stasis and stricture of the intestines and disruption of chemical factors such as pH. It has been described in the setting of inflammatory bowel disease, intestinal tuberculosis, and prior surgery of the bowel. Our patient was a 68-year-old Caucasian female with prior bowel resection secondary to hernia repair who presented many years later with obstructive symptoms including abdominal pain, nausea and vomiting, and ultimately inability to tolerate oral intake. Initial CT scans showed nonspecific inflammation and dilation of a segment of the small bowel, unable to rule out infectious or neoplastic process, and retained fecal material. The patient was initially managed conservatively with antiemetics, antibiotics, and bowel rest. After worsening of symptoms, the patient was readmitted, and exploratory laparotomy was performed during which a mesenteric mass was discovered adjacent to an area of conglomerated bowel which contained intraluminal rock-like material. After partial bowel resection and side-by-side anastomosis, the patient showed complete clinical recovery. Emphasis is placed on the importance of considering this uncommon etiology in the differential diagnosis of obstructive symptoms. Delayed diagnosis may lead to untoward complications such as perforation, and further understanding of the pathology may lead to increased detection and earlier intervention with surgical or endoscopic management.

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Enterolithiasis: An unusual cause of large bowel obstruction, a case report

Cited by 2 publications

References 11 publications

The role of computed tomography in enterolith causing small bowel obstruction: A case series

The role of computed tomography in enterolith causing small bowel obstruction: A case series

Enterolithiasis in a Patient With Prior Bowel Resection

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