Abstract
IntroductionEnteroliths are an uncommon entity in humans and form a rare cause of subacute intestinal obstruction. They occur proximal to stricture or in a diverticulum or a blind loop due to stasis.Case description40 years male presenting with intermittent right lower abdominal pain since 1 year. Barium meal follow-through and CT abdomen diagnosed as a case of subacute intestinal obstruction with an enterolith in the distal ileal segment. On exploratory laparotomy multiple ileal strictures with mesenteric adhesions were noted. An enterolith was delivered from one of the segments between two strictures followed by segmental resection of the pathological ileal segment with ileo-ileal anastomoses. Histopathology of the ileal segment showed inflammatory infiltrates.Discussion and EvaluationIt was a case of a primary enterolith formed due to stasis between ileal strictures causing subacute intestinal obstruction.ConclusionAn enterolith should also be considered while evaluating a case of intestinal obstruction as one of the rare differentials.
Highlights
BackgroundSubacute intestinal obstruction is a common surgical emergency
Enteroliths are an uncommon entity in humans and form a rare cause of subacute intestinal obstruction
It was a case of a primary enterolith formed due to stasis between ileal strictures causing subacute intestinal obstruction
Summary
Subacute intestinal obstruction is a common surgical emergency. Polyps and tumours, rarely gall stones or foreign body. Enteroliths are a cause of intestinal obstruction but are rare. They occur proximal to stricture or in a diverticulum or a blind loop. We present a case of subacute intestinal obstruction with multiple strictures and enterolith in the distal ileum, who underwent segmental ileal resection and ileo-ileal anastomoses. On exploratory laparotomy multiple strictures were noted in terminal ileum with dilated proximal loops and Kappikeri and Kriplani SpringerPlus (2016)5:1464 measured 2.5 × 1.5 cm (Fig. 5). The histopathology of the ileal specimen showed inflammatory cell infiltrate mainly neutrophils and eosinophils (Fig. 6).
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
