Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Patel, Chantal; Balasubramaniam, Ravivarma; Bullen, Timothy

doi:10.7759/cureus.8427

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…Small bowel obstruction by an enterolith is rare [ 1 , 19 ]. It is assumed that the formation of primary enteroliths is related to intestinal stenosis due to Crohn’s disease and/or intestinal tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

Enterolith Treated with a Combination of Double-Balloon Endoscopy and Cola Dissolution Therapy

et al. 2023

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A 71-year-old woman with rheumatoid arthritis who had been taking NSAIDs for many years consulted our hospital for abdominal pain. She was diagnosed with a small bowel obstruction due to an enterolith according to an abdominal CT scan that showed dilation from the enterolith in the small intestine on the oral side. It was considered that the intestinal stone was formed due to stagnation of intestinal contents and had gradually increased in size, resulting in an intestinal obstruction. We performed antegrade double-balloon endoscopy (DBE) to observe and remove the enterolith. We used forceps and a snare to fracture the enterolith. During this attempt, we found a seed in the center of the enterolith. Since the intestinal stone was very hard, cola dissolution therapy was administered from an ileus tube for 1 week. The following week, DBE was performed again, and it was found that the stone had further softened, making attempts at fracture easier. Finally, the enterolith was almost completely fractured. Intestinal stenosis, probably due to ulcers caused by NSAIDs, was found. Small bowel obstruction with an enterolith is rare. In this case, it was considered that the seed could not pass through the stenotic region of the small intestine and the intestinal contents had gradually built up around it. It has been suggested that DBE may be a therapeutic option in cases of an enterolith. Further, cola dissolution therapy has been shown to be useful in treating an enterolith, with the possible explanation that cola undergoes an acid–base reaction with the enterolith. In summary, we report, for the first time, treatment of an enterolith with a combination of DBE and cola dissolution therapy, thereby avoiding surgery and its risks.

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Section: Discussionmentioning

confidence: 99%

Enterolith Treated with a Combination of Double-Balloon Endoscopy and Cola Dissolution Therapy

et al. 2023

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“…While known complications include acute diverticulitis and SBO secondary to enterolith impaction, cases with both complications concurrently are infrequently reported in the literature. A review of existing literature uncovered only eight reported cases of jejunal diverticulitis with simultaneous enterolith obstruction [ 25 , [27] , [28] , [29] , [30] , [31] , [32] , [33] ], of which three involved bowel perforation ( Table 1.0 ) [ 25 , 27 , 28 ]. To the best of our knowledge, this case is unique in presenting with two sites of perforation and an obstructing enterolith.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, this case is unique in presenting with two sites of perforation and an obstructing enterolith. All reviewed cases required operative management, with various surgical approaches employed [ 25 , [27] , [28] , [29] , [30] , [31] , [32] , [33] ].…”

Section: Discussionmentioning

confidence: 99%

Complicated jejunal diverticulitis with small bowel obstruction due to enterolith: A case report

Barnard,

Wilson

2023

International Journal of Surgery Case Reports

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“…Resection is commonly performed in the presence of diverticula, severe inflammation or strictures, necrosis, and perforation [ 8 , 9 ]. The use of endoscopic retrieval or lithotripsy has also been described for duodenal enteroliths [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

Karveli¹,

Barlow²,

Grant³

et al. 2022

Cureus

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Enterolith formation is a rare condition precipitated by decreased bowel motility. It may cause obstruction or other complications and the diagnosis usually is confirmed after surgery and analysis of the stones or fragments. It is often seen in association with intestinal abnormalities such as diverticula and inflammation or in biliary tract fistulas where stones migrate to the duodenum and small bowel. We report an unusual case of a primary true enterolith formation in a patient without any underlying bowel condition or any previous surgery.

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Jejunal Enterolith: A Rare Case of Small Bowel Obstruction

Cited by 4 publications

References 8 publications

Enterolith Treated with a Combination of Double-Balloon Endoscopy and Cola Dissolution Therapy

Enterolith Treated with a Combination of Double-Balloon Endoscopy and Cola Dissolution Therapy

Complicated jejunal diverticulitis with small bowel obstruction due to enterolith: A case report

Primary Jejunal Enterolith Causing Small Bowel Obstruction Without Any Underlying Bowel Abnormality

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