Giant enterolith in ileal diverticulum following ileoplastic bladder augmentation

Kirshtein, Boris; Perry, Zvi H.; Klein, Joseph; Laufer, Lie; Sion-Vardi, Neta

doi:10.1016/j.ijscr.2013.01.019

Cited by 4 publications

(7 citation statements)

References 4 publications

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“…Formation of true enteroliths is generally caused by bowel stasis due to strictures or diverticula, followed by precipitation of inorganic substances or bile acids. Such precipitation of materials contained in intestinal juice is thought to be facilitated by an acid-base imbalance and bacterial overgrowth [ 3 – 8 ]. Most cases with enteroliths were asymptomatic and did not require specific treatment.…”

Section: Introductionmentioning

confidence: 99%

A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid

Iwamuro

Urata

Hiraoka

et al. 2017

Case Reports in Gastrointestinal Medicine

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The microstructure and dissolubility of a calcified enterolith and enterolith pieces removed from a 26-year-old Japanese woman with Crohn's disease were analyzed using scanning electron microscopy and energy dispersive X-ray spectroscopy. The enterolith showed a multilayered structure with fatty acid calcium and magnesium phosphate. The amount of calcium, magnesium, and phosphate decreased after they were immersed in a citric acid solution, suggesting a potential contribution of acidic aqueous solution to elute inorganic substances contained in calcified enteroliths. This is the first study to investigate the in vitro dissolubility of calcified enteroliths induced by citric acid solution.

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Section: Introductionmentioning

confidence: 99%

A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid

Iwamuro

Urata

Hiraoka

et al. 2017

Case Reports in Gastrointestinal Medicine

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“…Previous small bowel resection, trauma and crohn's disease have been reported to be predisposing factors for ileal acquired diverticulum (6). In our case, the patient had also a history of appendectomy and laparoscopic bilateral herniorrhaphy which was a predisposing factor for diverticulitis.…”

Section: Discussionmentioning

confidence: 53%

“…However some have introduced a motor dysfunction of smooth muscle or mesenteric plexus in small bowl, which increases the intestinal pressure and herniated mucosa and sub mucosa through the areas of low resistance, at the point of vascular penetration (3,6).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Resection of Ileum Diverticulitis: A Case Report

Pazouki

Jamshidi

Alibeigi

et al. 2016

J Minim Invasive Surg Sci

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Introduction: Ileal diverticulum is a rare disease that presents with complications such as diverticulitis. Case Presentation: We present an 81-year-old man with partial small bowel obstruction having abdominal pain, nausea, vomiting for 48 hours and a mobile abdominal mass. After CT scan, exploratory laparoscopy and small bowel resection was done with primary anastomosis. Conclusions: When adhesion, internal hernia and malignancy are ruled out in patient presenting with partial obstruction and abdominal mass, other causes like diverticula must be considered.

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“…But enterolith occurring in an otherwise normal gut is rarely described and even rarer is recurrent enterolith causing small bowel obstruction [4]. In fact, this may be the first report of a recurrent enterolith.…”

Section: Discussionmentioning

confidence: 99%

“…Gut hypomotility or stasis is thought to be the causal factor for this, the usual contents being inspissated fecal matter, calcium phosphates, magnesium, bacteria, epithelial debris, and unconjugated choleic acid with little or no cholesterol [ 1 – 4 ].…”

Section: Introductionmentioning

confidence: 99%

Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described

Shrestha¹,

Shrestha²

2017

Case Reports in Gastrointestinal Medicine

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Background Enterolithiasis of the small bowel is a rare phenomenon in humans although it has been frequently described in equines. Primary enteroliths have been described including those occurring secondary to conditions like Crohn's disease, small bowel diverticula, tuberculous or postoperative strictures, and blind loops but those occurring in an otherwise normal gut are exceedingly rare. Of even greater rarity is a recurrent small bowel enterolith presenting with obstruction. This may be the first report of such kind. Case Presentation A 70-year-old man undergoing treatment for stable alcoholic liver disease presented to the emergency with gradually progressive diffuse abdominal pain associated with vomiting and constipation for 7 days. He had gaseous abdominal distention but was not obstipated. He had a history of 2 laparotomies in the past for small bowel obstruction secondary to enterolith impaction. He was initially managed conservatively but since there was no significant clinical improvement, he underwent an exploratory laparotomy. A recurrent enterolith 5 × 5 cm in size was found impacted in the mid ileum with multiple dense serosal adhesions and bands. Adhesiolysis and enterotomy with removal of enterolith were performed. Conclusion Recurrent enterolithiasis of the small bowel is a rare phenomenon and may present with recurrent obstruction. Definitive preoperative diagnosis is not always possible and a high index of suspicion is required to avoid table misdiagnosis. Surgery is the mainstay of treatment once conservative measures fail. Laparoscopic methods may help in diagnosis and avoid possibility of a subsequent adhesive bowel obstruction but are associated with technical challenges.

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Giant enterolith in ileal diverticulum following ileoplastic bladder augmentation

Abstract: Open or laparoscopic assisted surgical resection of the involved segment is the treatment of choice.

Cited by 4 publications

References 4 publications

A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid

A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid

Laparoscopic Resection of Ileum Diverticulitis: A Case Report

Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described

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