Traction Diverticulum of the Small Bowel with Enterolith as a Cause of Intestinal Obstruction

Gachabayov, Mahir; Orujova, Lala; Кубачев, К. Г.

doi:10.3121/cmr.2018.1436

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Nowadays, CT abdomen is readily available and used to identify the presence of enteroliths, their locations, underlying pathology as well as any complications [15]. Many studies have used CT abdomen on presentations which aided in making diagnosis early [10,[16][17][18][19][20][21][22][23]. One case study [13] used a barium meal follow-through in their month follow-up to ensure no further obstruction or fistula was present.…”

Section: Discussionmentioning

confidence: 99%

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

2022

J Surg

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Small bowel diverticula, though rare, can cause serious complications requiring surgical interventions. We report a case of a 73-year-old male presented with a mechanical small bowel obstruction secondary to enterolith from a small bowel diverticulum. The patient underwent a diagnostic laparoscopy and enterotomy with removal of dislodged enterolith in the setting of small bowel diverticular disease.

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Section: Discussionmentioning

confidence: 99%

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

2022

J Surg

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“…The pathophysiology behind small bowel diverticular disease is thought to be related to small bowel dyskinesia secondary to myenteric plexus dysfunction [5] . The distorted peristalsis can lead to intra-luminal pressure changes, that eventually lead to formation of enterolith and cause obstruction [6] . Intestinal stasis can also cause mucosal edema, diverticular bacterial overgrowth, inflammation and eventually necrosis of the mucosa, leading to diverticulitis and perforation [7] .…”

Section: Discussionmentioning

confidence: 99%

A shift in surgical management of perforated jejunal-ileal diverticulitis? Two case reports

Liu¹,

MD²,

Darehzereshki³

et al. 2021

IJCR

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Small bowel diverticular disease is usually asymptomatic, but complicated small bowel diverticular disease can present as an acute abdomen, manifesting as diverticulitis, perforation, abscess, obstruction or bleeding. Due to the rarity of the disease, very few studies have been conducted on complicated small bowel diverticular disease. Therefore, there are no clear guidelines on management. General peritonitis remains the best indication for surgical management due to its correlation with high mortality and prolonged hospital stay. Traditionally, perforated small bowel diverticular disease is managed with exploratory laparotomy, primary bowel resection and anastomosis regardless of acute presentation. However, more recent studies demonstrated a trend towards conservative or less invasive surgical management. Here, we report two perforated small bowel diverticulitis cases at our institution that underwent different management and had different outcomes.

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An Inflamed, Giant, True, Extramural Duodenal Diverticulum

Sakry

Kemp

2020

Am J Forensic Med Pathol

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A 53-year-old man was found to have a giant 16 × 6-cm hemorrhagic and cystic mass centered on the pancreas and duodenum. Initially diagnosed as a pancreatic pseudocyst at the time of autopsy, the cystic mass was later determined by histologic examination to be a true diverticulum of the duodenum as microscopic examination of the wall revealed 2 layers of muscle, as well as a neutrophilic infiltrate. While the cause of death of the individual was certified as methamphetamine toxicity, cardiomegaly and probable dehydration associated with a giant duodenal diverticulum were listed as contributory conditions. While duodenal diverticula in general are relatively uncommon findings, an extramural, true, giant duodenal diverticulum that is inflamed is a rare clinical or autopsy finding, with only 2 case reports identified in the clinical medical literature and none in the forensic literature.

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Traction Diverticulum of the Small Bowel with Enterolith as a Cause of Intestinal Obstruction

Cited by 3 publications

References 9 publications

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

Enterolith from Small Bowel Diverticulum as an Uncommon Cause of Acute Small Bowel Obstruction and Literature Review

A shift in surgical management of perforated jejunal-ileal diverticulitis? Two case reports

An Inflamed, Giant, True, Extramural Duodenal Diverticulum

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