Korean J Gastroenterol.  2009 Sep;54(3):139-142. 10.4166/kjg.2009.54.3.139.

Small Bowel Obstruction due to Enterolith

• Hong HI
• Ye BD
• Yoon SN

• KMID: 1775948
• DOI: http://doi.org/10.4166/kjg.2009.54.3.139

Abstract

No abstract available.

MeSH Terms

Aged, 80 and over
Calcinosis/complications/*diagnosis/radiography
Calculi/complications/*diagnosis/radiography
Humans
Ileum/pathology
Intestinal Diseases/*diagnosis/etiology/radiography
Intestinal Obstruction/*diagnosis/etiology/radiography
Male
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Simple upright abdominal radiography showed air-fluid levels, dilated small bowel loops and 35 mm-sized radiopaque ovoid lesion (arrow).

• 

  Fig. 2. Abdominopelvic CT findings. (A) CT revealed round 15 mm-sized enterolith with dense calcification (white arrow) and radiopaque surgical material (black arrow) at the previous anastomotic site. (B) Lower image cut showed 43 mm sized-enterolithe with lamellated calcification (white arrow), 35 mm sized-enterolith containing mottled gas (arrowhead) and radiopaque surgical material (black arrow) at the previous anastomotic site.

• 

  Fig. 3. (A) Gross finding of resected ileal segment showing narrowed portion with hyperemia and erosions (arrow). (B) Gross feature of two ovoid, dark green colored-enteroliths (43×30 mm and 35×27 mm, respectively).

Reference

1. Paige ML, Ghahremani GG, Brosnan JJ. Laminated radiopaque enteroliths: diagnostic clues to intestinal pathology. Am J Gastroenterol. 1987; 82:432–437.

2. Singleton JM. Calcific enterolith obstruction of the intestine. Br J Surg. 1970; 57:234–236.

3. Gupta SK, Shirbhate NC, Khanna NN, et al. Enterolithiasis. J Postgrad Med. 1982; 28:225–228.

4. Shocket E, Simon SA. Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature. Am J Gastroenterol. 1982; 77:621–624.

5. Klingler PJ, Seelig MH, Floch NR, Branton SA, Metzger PP. Small-intestinal enteroliths - unusual cause of small-intestinal obstruction: report of three cases. Dis Colon Rectum. 1999; 42:676–679.

6. Lopez PV, Welch JP. Enterolith intestinal obstruction owing to acquired and congenital diverticulosis. Report of two cases and review of the literature. Dis Colon Rectum. 1991; 34:941–944.

7. Lee YR, Kim YK, Kim YH, et al. A case of Meckel's enterolith. Korean J Gastrointest Endosc. 1999; 19:643–649.

8. Coster DD, Mouw BD, Kollmorgen RL. Primary small intestinal enteroliths. Surg Rounds. 1991; 7:623–624.

9. Tsiotos GG, Farnell MB, Ilstrup DM. Nonmeckelian jejunal or ileal diverticulosis: an analysis of 112 cases. Surgery. 1994; 116:726–731.

10. Yuan JG, Sachar DB, Koganei K, Greenstein AJ. Enterolithiasis, refractory anemia, and strictures of Crohn's disease. J Clin Gastroenterol. 1994; 18:105–108.

11. Geroulakos G, Taylor W, Smithers BM, Wilkins JL. Multiple enteroliths in a chronically obstructed duodenal loop after Roux-en-Y biliary diversion. Surgery. 1987; 102:883–888.

12. Meade P, McDonnell B, Fellows D, Holtzmuller KC, Runke L. Enteroliths causing intermittent obstruction in a patient with Crohn's disease. Am J Gastroenterol. 1991; 86:96–99.

13. Lee MC, Bui JT, Knuttinen MG, Gaba RC, Scott Helton W, Owens CA. Enterolith causing afferent loop obstruction: a case report and literature review. Cardiovasc Intervent Radiol. 2009. in press.

14. Singh G, Venkatesan R, DAS A. Enterolith: a diagnostic clue for intestinal stricture. Clin Gastroenterol Hepatol. 2009; 7:e30–e31.

15. Atwll JD, Pollock AJ. Intestinal calculi. Br J Surg. 1960; 47:367–374.

16. Bewes PC, Haslewood GA, Roxburgh RA. Bile-acid enteroliths and jejunal diverticulosis. Br J Surg. 1966; 53:709–711.

17. Pfahler GE, Stamm CS. Diagnosis of enteroliths by means of roentgen rays. Surg Gynecol Obstet. 1915; 21:14–17.

18. Harris LM, Volpe CM, Doerr RJ. Small bowel obstruction secondary to enterolith impaction complicating jejunal diverticulitis. Am J Gastroenterol. 1997; 92:1538–1540.

19. Hayee B, Khan HN, Al-Mishlab T, McPartlin J. A case of enterolith small bowel obstruction and jejunal diverticulosis. World J Gastroenterol. 2003; 9:883–884.

20. Levesque HP, Ciricillo DR, Sylvestre J, Gareau R, Lamarre L, Cholette C. Mucosal diaphragm and enteroliths of the small bowei causing obstruction in an adult. Am J Gastroenterol. 1983; 78:593–595.

21. Beal SL, Walton CB, Bodai BI. Enterolith ileus resulting from small bowel diverticulosis. Am J Gastroenterol. 1987; 82:162–164.