Subacute Intestinal Obstruction By An Enterolith-A Rare Case

Abstract

This moribund elderly female patient was referred to us for sub-acute intestinal obstruction, and upon clinical evaluation and investigations, she was found to have proximal dilated jejunum and ileal loops. After in-patient pre-operative investigations, a nasogastric tube was inserted and revealed jejunal contents, hence she was operated upon as a priority, laparotomy and retrieval of a stony hard foreign body was done. However, we ruled out choledochal fistula on CECT. Enterolith presents with varied clinical presentation and this unusual case (large stone) warranted surgery, which resolved her symptoms

Keywords

• adynamic intestinal obstruction
• enterotomy
• foreign body
• stone retrieval