Radiology Case Reports (Mar 2022)

Primary true enterolithiasis: A rare cause of acute small bowel obstruction

  • Abdelhamid Jadib, MD,
  • Houria Tabakh, MD,
  • Lamiaa Chahidi El Ouazzani, MD,
  • Keltoum Boumlik, MD,
  • Romaissaa Boutachali, MD,
  • Abdellatif Siwane, MD,
  • Najwa Touil, MD,
  • Omar Kacimi, MD,
  • Nabil Chikhaoui, MD

Journal volume & issue
Vol. 17, no. 3
pp. 610 – 614

Abstract

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Enterolithiasis is an uncommon medical condition. It's defined by the formation of gastrointestinal concretion in the setting of intestinal stasis. Enteroliths are typically incidentally discovered during imaging and are a rare cause of acute small bowel obstruction. We report the case of acute small bowel obstruction, secondary to primary true enterolithiasis, in a 73-year-old male, with unremarkable medical history. He presented with clinical features in keeping with acute small bowel obstruction, for 2 days. An abdominal contrast-enhanced CT scan suggested a small bowel obstruction caused by a 32mm diameter enterolith located in the terminal ileum. The surgical management was successful and consisted of the removal of the enterolith after enterotomy.

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