Purpose
Purpose The aim of this study was to report on a rare cause of small-intestinal obstruction caused by small-intestinal enteroliths. METHODS: We present three different cases of enterolith formation in the small intestine. One occurred after nontropical sprue, one patient had multiple jejunal diverticula, and another patient had enterolith formation in a blind loop after a small-bowel side-to-side anastomosis. RESULTS: After initial conservative therapeutic approach all patients underwent surgery. In two patients the enteroliths were removed by ileotomy or jejunostomy. In the third patient the bowel anastomosis had to be revised after removal of the enterolith. CONCLUSION: Small-intestinal enteroliths may cause small-bowel obstruction. The first therapeutic approach is nonsurgical; however, if obstruction proceeds, surgical removal with or without revision of underlying pathology is necessary. We discuss the causes and therapeutic management of enteroliths and give a review of related literature.
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References
Gupta SK, Shirbhate NC, Khanna NNet al. Enterolithiasis. J Postgrad Med 1982;28:225–8.
Lopez PV, Welch JP. Enterolith intestinal obstruction owing to acquired and congenital diverticulosis: report of two cases and review of the literature. Dis Colon Rectum 1991;34:941–4.
Yang HK, Fondacaro PF. Enterolith ileus: a rare complication of duodenal diverticula. Am J Gastroenterol 1992;87:1846–8.
Roshkow J, Farman J, Chen CK. Duodenal diverticular enterolith. A rare cause of small bowel obstruction. J Clin Gastroenterol 1988;10:88–91.
Coster DD, Mouw BD, Kollmorgen RL. Primary small intestinal enteroliths. Surg Rounds 1991;7:623–4.
Levesque HP, Ciricillo DR, Sylvestre J, Gareau R, Lamarre L, Cholette C. Mucosal diaphragm and enteroliths of the small bowel causing obstruction in an adult. Am J Gastroenterol 1983;78:593–5.
Herbetko J, Brunton FJ. Enteroliths of small bowel diverticula. Clin Radiol 1991;43:311–3.
Berry DF, Willing SJ, Beers GJ. Small bowel obstruction due to enterolith: CT appearance. J Comput Assist Tomogr 1987;11:707–8.
Shocket E, Simon SA. Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature. Am J Gastroenterol 1982;77:621–4.
Atwell JD, Pollock AJ. Intestinal calculi. Brit J Surg 1960;47:367–74.
McCallion WA, Higgins PM, Dane TE. Enterolith obstruction of the small bowel. Ulster Med J 1992;61:179–81.
Paige ML, Ghahremani GG, Brosnan JJ. Laminated radiopaque enteroliths: diagnostic clues to intestinal pathology. Am J Gastroenterol 1987;82:432–7.
Pantongrag-Brown L, Levine MS, Buetow PC, Buck JL, Elsayed AM. Meckel's enteroliths: clinical, radiologic, and pathologic findings. Am J Roentgenol 1996;167:1447–50.
Pfahler GE, Stamm CS. Diagnosis of enteroliths by means of roentgen rays. Surg Gynecol Obstet 1915;21:14–7.
Winterstein O. Über enterolithen. Deutsche Zeitschrift für Chirugie 1925;193:409–19.
Falk VS. Enterolith small bowel obstruction (pseudogallstone ileus) [letter]. Arch Surg 1974;108:749.
Tsiotos GG, Farnell MB, Ilstrup DM. Nonmeckelian jejunal or ileal diverticulosis: an analysis of 112 cases. Surgery 1994;116:726–31.
Yuan JG, Sachar DB, Koganei K, Greenstein AJ. Enterolithiasis, refractory anemia, and strictures of Crohn's disease. J Clin Gastroenterol 1994;18:105–8.
Geroulakos G, Taylor W, Smithers BM, Wilkins JL. Multiple enteroliths in a chronically obstructed duodenal loop after Roux-en-Y biliary diversion. Surgery 1987;102:883–5.
Meade P, McDonnell B, Fellows D, Holtzmuller KC, Runke L. Enteroliths causing intermittent obstruction in a patient with Crohn's disease. Am J Gastroenterol 1991;86:96–8.
Beal SL, Walton CB, Bodai BI. Enterolith ileus resulting from small bowel diverticulosis. Am J Gastroenterol 1987;82:162–4.
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Klingler, P.J., Seelig, M.H., Floch, N.R. et al. Small-intestinal enteroliths—Unusual cause of small-intestinal obstruction. Dis Colon Rectum 42, 676–679 (1999). https://doi.org/10.1007/BF02234149
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DOI: https://doi.org/10.1007/BF02234149