Document Detail


Enterolith small-bowel obstruction caused by jejunal diverticulosis: Report of a case.
MedLine Citation:
PMID:  17072724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the successful surgical treatment of intestinal obstruction caused by enteroliths formed in jejunal diverticula. A 78-year-old man with bowel obstruction of unknown etiology was initially managed conservatively, but suffered recurrence of the obstruction. Thus, we performed a laparotomy, which revealed multiple diverticula in the jejunum, with one enterolith inside a diverticulum and one enterolith in the terminal ileum. There was no abnormal communication between the gallbladder and the intestinal tract, excluding the possibility of a gallstone ileus. The stone in the terminal ileum could not be broken manually, so we performed an enterotomy to remove the stones. Intestinal obstruction caused by enteroliths in small-bowel diverticula is a rare event, which is difficult to diagnose and manage. To our knowledge, only 35 such cases have ever been reported.
Authors:
Eleni I Efremidou; Nikolaos Liratzopoulos; Michalis S Papageorgiou; George Kouklakis; Georgios J Minopoulos; Konstantinos J Manolas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  36     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2006  
Date Detail:
Created Date:  2006-10-30     Completed Date:  2007-01-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1003-6     Citation Subset:  IM    
Affiliation:
First Department of Surgery, University General Hospital of Alexandroupolis, Medical School of Democritus, University of Thrace, Dragana, 68100, Alexandroupolis, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Calculi / complications*,  diagnosis,  surgery
Diagnosis, Differential
Diverticulum / complications*,  diagnosis,  surgery
Humans
Intestinal Obstruction / diagnosis,  etiology*,  surgery
Jejunal Diseases / complications*,  diagnosis,  surgery
Laparotomy
Male
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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