*Endoscopic polypectomy to remove small-bowel polyps involved no digestive tract bleeding and perforation, and open surgery was avoided *Similarly, surgery was unnecessary after endoscopic lithotripsy for small intestinal obstruction caused by an
enterolith because the obstruction was relieved when the
enterolith was shattered *Among the 18 patients with bleeding from Dieulafoy's lesions of the small bowel, 14 patients were controlled with endoscopic hemostasis.
The pathology report confirmed the presence of a large
enterolith, 5 cm in diameter, and ulcerative transmural inflammation of the resected part of the small intestine.
An ileocecal resection was performed under the diagnosis of impacted cecal
enterolith. Although appendiceal wall thickening was not noted, infiltration of neutrophils within the mucosa and lymphocytes and eosinophils within the subserosa and adipose tissue were confirmed microscopically.
(2,3) Mechanical intestinal obstruction can be due to
enteroliths, intussusception, adhesive band formation as a result of previous diverticulitis, and volvulus.
Obstructing
enterolith as presenting feature in Crohn's disease.
The diagnosis of
enterolith ileus is established by observing an unremarkable gallbladder and the presence of a small bowel diverticula [2], in this case a duodenal diverticulum.
He had a history of 2 laparotomies in the past both for small bowel obstruction secondary to
enterolith impaction that had failed to resolve with conservative measures.
Primary
enteroliths arise due to the stasis of the intestinal contents, and the underlying pathologies include diverticular disease, blind pouches, intestinal stenosis, and strictures.
Case report: CT findings in acute necrotizing Meckel's diverticulum due to obstructing
enterolith. JCAT 1995; 19:808-810.
Gallstone ileus is well described, but there are few reported cases of primary
enterolith causing SBO.
(13-17) Intraluminal and extraluminal intestinal obstructions due to ingestion of foreign material, parasites,
enteroliths, strictures, volvulus, intussusception, incarcerated hernias, or mural lesions like neoplasia or granulomas have all been described in birds.
Enterotomies are often employed for
enteroliths, foreign bodies, and impacted material removal [1,2].