A diagnostic dilemma: enterolith formation secondary to stricture and subsequent bowel obstruction: a case report

Authors

  • Pradnya S. Jadhav Department of General Surgery, GMC, Nagpur, Maharashtra, India
  • Jagadish B. Hedawoo Department of General Surgery, GMC, Nagpur, Maharashtra, India
  • Sanjay S. Changole Department of General Surgery, GMC, Nagpur, Maharashtra, India
  • Mahesh K. Soni Department of General Surgery, GMC, Nagpur, Maharashtra, India
  • Adarsh Lalwani Department of General Surgery, GMC, Nagpur, Maharashtra, India
  • Akhilesh Kamble Department of General Surgery, GMC, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242457

Keywords:

Enterolithiasis, Crohn’s disease, Subacute intestinal obstruction, Strictures

Abstract

We report a case of a 67 years male patient who presented with complaints of pain in abdomen, loose motions since 3 months and distension of abdomen since 1 day. At the time of admission patient was vitally stable, with no history of vomiting and constipation. Plain x-ray abdomen erects showed evidence of approximately 4-5 radio opaque foreign bodies in the abdomen. Contrast Enhanced computed tomography (CECT) of abdomen revealed multiple ileal strictures with closed loop obstruction with large monoliths. Exploratory laparotomy confirmed 7 ileal strictures each 10 cm apart with proximal dilatation. Resection of ileal stricture was performed and ileoileal anastomosis done. The resected segment contained seven hard, black enteroliths.

References

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Published

2024-08-29

Issue

Section

Case Reports