An unusual case of small bowel obstruction due to multiple primary enteroliths: a case report

Shalinee Satya Prakash; Azaz Akhtar Siddiqui; Moeenuddeen

doi:10.18203/2349-2902.isj20243254

Authors

Shalinee Satya Prakash Department of Surgery, Lady Hardinge Medical College, New Delhi, India
Azaz Akhtar Siddiqui Department of Surgery, Lady Hardinge Medical College, New Delhi, India
Moeenuddeen Department of Surgery, Lady Hardinge Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20243254

Keywords:

Primary enteroliths, Small bowel obstruction, Resection and anastomosis

Abstract

Enteroliths are caused by intestinal stasis or gut hypomotility. It can be primary enteroliths which is produced within the intestine or secondary where stones are migrated from outside gastrointestinal tract like gall stone ileus. A 57-year-old lady presented with complaints of pain in abdomen with constipation. On abdomen X-ray there was 3 large laminated calcified bodies in pelvis. On ultrasound there were gall stones present and hyperechoic bodies present in bowel loops, urinary bladder was empty. On CECT 3 enteroliths present in ileum causing small bowel obstruction. Patient was planned for diagnostic laparoscopy where focal bowel dilatation present at mid ileum. There was no cholecystoenteric fistula present. Laparoscopy cholecystectomy along with laparoscopy assisted extracorporeal resection and anastomosis of involved bowel with removal of 3 enteroliths of size 4×4 cm done. Small enteroliths can pass spontaneously but large and impacted enteroliths needs surgical intervention.

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References

Shrestha AL, Shrestha P. Recurrent enterolithiasis small bowel obstruction: a case seldom described, Case Rep. Gastrointest Med. 2017;.

Gupta R, Andley M, Saha S, Kumar A. True primary “Idiopathic” enterolithiasis as an unusual cause of bowel perforation. Trop Gastroenterol. 2020;39(4):223-25.

Gurvits GE, Lan G. Enterolithiasis. World J Gastroenterol. 2014;20:17819-29.

Atwell JD, Pollock AV. Intestinal calculi. Br J Surg. 1960;47:367-74.

Jadib A, Tabakh H, El Ouazzani LC, Boumlik K, Boutachali R, Siwane A, et al. Primary true enterolithiasis: a rare cause of acute small bowel obstruction. Radiol Case Rep. 2022;17(3):610-4.

Gadhia U, Raju D, Kapoor R. Large enterolith in a Meckels diverticulum causing perforation and bowel obstruction: an interesting case with review of literature. Indian J Surg. 2013;75(1):177-9.

Javors BR, Bryk D. Enterolithiasis: a report of four cases, Gastrointest Radiol. 1983;8(1):359-62.

Ihara E, Ochiai T, Yamamoto K, Kabemura T, Harada N. A case of gallstone ileus with a spontaneous evacuation. Am J Gastroenterol. 2002;97:1259-60.

Steenvoorde P, Schaardenburgh P, Viersma JH. Enterolith ileus as a complication of jejunal diverticulosis: two case reports and a review of the literature. Dig Surg. 2003;20:57-60.