Year 2017 / Volume 109 / Number 4
Digestive Diseases Image
An unusual enterolith ileus

292

Ismael Mora-Guzmán, José Luis Muñoz de Nova, Ana Rodríguez Sánchez,

Abstract
The duodenum is an uncommon location of diverticula in the digestive tract, and they are often asymptomatic. Formation of an enterolith inside diverticula has been previously described, although it is a rare condition. In this context, intestinal obstruction due to distal migration of foreign bodies is extremely rare. We report a case of an 86-year-old woman with obstructive symptoms due to a jejunal foreign body that had migrated from a duodenal diverticulum. An emergency laparotomy was performed to extract a phytobezoar. Enterolith ileus secondary to duodenal diverticula is an exceptional entity. Diagnosis and management are usually delayed because of a non-specific presentation, and early surgical exploration is required for bowel disimpaction. This condition should be considered in elderly patients with prolonged immobilization or neurodegenerative diseases.
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References
1. Monchal T, Hornez E, Bourgouin S, et al. Enterolith ileus due to jejunal diverticulosis. Am J Surg. 2010;199:e45-7.
2. Medsinge A, Remer EM, Winans CG. Duodenal diverticulitis followed by enterolith-associated small bowel obstruction. Emerg Radiol. 2012;19:261-4.
3. Franzen D, Gürtler T, Metzger U. Solitary duodenal diverticulum with enterolith as a rare cause of acute abdomen. Swiss Surg. 2002;8:277-9.
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Mora-Guzmán I, Muñoz de Nova J, Rodríguez Sánchez A. An unusual enterolith ileus . 4552/2016


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Publication history

Received: 19/07/2016

Accepted: 29/08/2016

Published: 31/03/2017

Article revision time: 2 days

Article editing time: 255 days


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