Incidental Enterolithiasis in Humans: A Case Series with Review of Literature (original) (raw)
Related papers
Enteroliths Masquerading as Urinary Bladder Stone
Journal of Case Reports, 2015
Enterolith or concretion in the bowel is rare entity in humans. It is found to be associated with various diseases of intestine but its presentation mimicking urinary bladder calculi on radiograph makes it interesting. A 38 year old patient presented with lower abdominal pain and dysuria. Plain radiograph of abdomen was showing radiopaque densities in pelvis falling in close proximity of urinary bladder. However further investigation revealed them to be in the small intestine proximal to a narrow segment, possibly a stricture. Patient underwent laparotomy with resection of affected bowel segment and end to end anastomosis. Histopathology report showed it to be a nonspecific inflammatory stricture of small bowel with enteroliths.
Clinical Techniques in Equine Practice, 2002
Enteroliths are calculi composed of struvite that form in the ampulla coli of the right dorsal colon and subsequently cause partial or complete obstruction of the right dorsal, transverse, or descending colon. Parts of California have an unusually high incidence, and Arabians, Morgans, American Miniatures, and American Saddlebreds are at increased risk for entheroliths. The most devastating aspect of this condition is the potential for pressure necrosis and rupture of the intestinal tract. An association between exposure to potential nidi and the development of enteroliths has been suggested, although the nidus most often consists of a mere speck of foreign material such as a pebble or grain of sand. The current recommendations for horses at risk for enterolithiasis include elimination of rich, California-grown alfalfa from the diet, daily feeding of concentrates to promote colonic acidification, daily exercise with access to pasture grass, evaluation of mineral components of the water supply, and possibly supplementation with apple cider vinegar to acidify colon contents. Definitive diagnosis can be determined with abdominal radiography, exploratory celiotomy, necropsy, or via palpation per rectum. Abdominal ultrasound is of limited value, except to rule out other conditions. Surgical management of enterolithiasis is most commonly performed through a ventral midline celiotomy, and techniques for removal will be influenced by accessibility to the site of impaction. It is important to complete a thorough abdominal exploration to avoid missing additional enteroliths.
Enterolithiasis: An unusual cause of small intestinal obstruction
Archives of International Surgery, 2013
Small bowel obstruction is a common condition, encountered in the emergency room of the surgery department. Uncommon causes include gallstone ileus, worm infestation, internal hernias, mesentric ischemia, trichobezoars or phytobezoars, Crohn's disease, postoperative strictures, and diverticulosis. Even more uncommon is primary enterolithiasis. Enterolith, the enterogenous foreign bodies, are rare clinical and radiological entities. True enteroliths are formed due to precipitation and deposition of substances from alimentary chime. Primary enterolithiasis is a rare entity, occurring in association with pathological conditions that lead to hypomotility and stasis, like Crohn's disease, small intestine diverticulae, traumatic or postoperative strictures of ileum, ulcerative colitis and blind loops. Primary enterolithiasis may be asymptomatic or may present with sub-acute or acute intestinal obstruction, but specific radiological diagnosis of primary enterolithiasis is uncommon. Definitive treatment of enterolithiasis with small intestinal obstruction is essentially surgical. The options at laparotomy are manual lysis of the calculus without enterotomy or removal by enterotomy. Bowel resection is indicated in cases with definitive bowel pathology. We are presenting five cases of enterolithiasis, which we encountered in the Surgery Department of L.L.R.M. Medical College, Meerut from January 2006 to December 2012. Clinical presentation, diagnosis, investigations and treatment have been discussed along with a review of literature.
Massive enterolithiasis associated with ileal dysgenesis
The British journal of radiology, 1997
A 20-year-old man with massive ileal enterolithiasis was investigated with plain radiography, ultrasound, computed tomography, barium follow through and double contrast barium enema. Ileocecal valve agenesis was found at surgery. The enteroliths were located in the distal ileum, which communicated with the large intestine via an ileotransverse fistula.
Abdominal computed radiography for the diagnosis of enterolithiasis in horses: 142 cases (2003–2007)
Journal of the American Veterinary Medical Association, 2011
Objective—To evaluate the sensitivity and specificity of abdominal computed radiography (CR) for the diagnosis of enterolithiasis in horses and to examine how these parameters are affected by the number and anatomic location of enteroliths and by gas distension of the gastrointestinal tract. Design—Retrospective case series. Animals—Horses ≥ 1 year old that underwent abdominal CR and subsequent exploratory laparotomy or postmortem examination. Procedures—3 reviewers blinded to signalment, history, clinical signs, and diagnoses separately evaluated abdominal computed radiographs of horses included in the study. Each set of radiographs was evaluated for the presence or absence of enteroliths, the amount of gas distention, and the image quality. Signalment, definitive diagnosis on the basis of findings on exploratory laparotomy or postmortem examination, and the number and location of enteroliths were obtained from medical records. Results—Of the 142 cases reviewed, 58.4% (83/142) had ...
Subacute intestinal obstruction caused by true enterolith
Hellenic Journal of Surgery, 2016
A 20 yr. male patient presented to the surgical emergency with complaints of abdominal pain for seven days and vomiting on and off for 3 days. Pain was mostly in the lower abdomen, colicky in nature and associated with vomiting and increased by food intake. He had similar episodes of pain in the past 2 months but they resolved spontaneously. Vomiting was non-projectile, bilious and contained food materials. There was no history of fever, diarrhoea or absolute constipation. There is no history of any surgery in the past. His abdomen was not distended and it was soft on palpation. Lower abdomen was tender andbowel sounds were normal. On per-rectal examination faecal matter was present. X-Ray abdomen revealed a rounded radio-opaque shadow in the left lumber region on anteroposterior view, which was anterior to the vertebrae in lateral view (Figures 1a,b). A second X-ray done pre-operatively (twelve hours later) showed change in position of the radio-opaque shadow. USG (Ultrasonography) could not give any further details so a CT scan was done, (Figure 2) which was suggestive of enterolith in the small bowel.
Small bowel obstruction by enterolith in an elderly woman: a case study
Revista de Medicina
Enteroliths are intraluminal calculi formed in the small bowel, commonly caused by chronic intestinal constipation associated with other comorbidities. We describe an atypical case of enterolithiasis diagnosed with computed tomography scan (CT) and which was confirmed during subsequent surgical resection. A 66-year-old female patient had a history of chronic constipation and use of laxatives and presented with abdominal pain. A CT scan showed heterogeneous annular formations with a hyperdense halo and a hypodense center within the loops of small bowel. A segment was resected for enterectomy, allowing several yellowish stony structures to be identified, corresponding to enteroliths.
Journal of Equine Science, 2018
Computed tomography (CT) was performed for an 18-year-old female pony with enterolithiasis in the prone and supine positions. CT images from the prone position revealed displacement of the large dorsal colon, which contained an enterolith to the ventral side of the abdomen, and those from the supine position revealed displacement to the dorsal side. A high-density material suggestive of a metallic foreign body was also observed in the enterolith core. An enterolith (422 g, 104 mm) was surgically removed from the large dorsal colon. This caused no complications after surgery and increased the horse's weight. Changing positions during CT helps identify the exact location of enterolith and intestinal displacement due to enterolith weight, as well as size and number.