MDCT imaging in malignant carcinoid syndrome

Gupta, Kamini; Kaur, Samarjit; Gupta, Rama; Goyal, Amit

doi:10.1007/s12664-011-0118-4

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…It is assumed that the formation of primary enteroliths is related to intestinal stenosis due to Crohn’s disease and/or intestinal tuberculosis. In addition, primary enteroliths may occur in the area of stasis due to the existence of intestinal diverticulum, afferent loops after surgery, incarcerated hernias, small intestinal tumors, and intestinal kinking from intra-abdominal adhesions [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. In the present case, it was considered that the seed could not pass through the stenotic region of the small intestine due to the NSAID ulcer and the intestinal contents gradually built up around it.…”

Section: Discussionmentioning

confidence: 99%

“…Sudden or recurrent abdominal pain with vomiting in a patient who is in a population at risk for enteroliths should raise suspicion of the possibility of an enterolith. Important risk factors include intraluminal stricture or stenosis seen in Crohn’s disease, tuberculous and radiation enteritis; surgical anastomoses; intestinal malignancy; extraluminal kinking or angulation found in the setting of intra-abdominal adhesions, external compressions, or incarcerated hernias [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. Radiological imaging has been useful for early diagnosis of enteroliths.…”

Section: Introductionmentioning

confidence: 99%

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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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