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08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Enterolith ileus complicating jejunal diverticulosis
D N Lobo1, B D Braithwaite, B J Fairbrother
1Department of Surgery, University Hospital, Nottingham, UK.
Journal of Clinical Gastroenterology
|September 9, 1999
Summary
Small intestinal obstruction from jejunal diverticula enteroliths is uncommon. This study reports successful surgical management in three elderly women, highlighting diagnosis and treatment strategies for this rare condition.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Small intestinal obstruction is a common surgical emergency.
- Enteroliths are calcified masses that can form within the gastrointestinal tract.
- Jejunal diverticula are outpouchings of the small intestine, and their association with enterolith formation leading to obstruction is rare.
Purpose of the Study:
- To describe the clinical presentation and management of small intestinal obstruction caused by enteroliths originating from jejunal diverticula.
- To share the experience of successfully treating three elderly female patients with this rare condition.
Main Methods:
- Case series involving three elderly female patients.
- Diagnosis confirmed during exploratory laparotomy.
- Surgical interventions included enterolithotomy and jejunal resection.
Main Results:
- All three patients presented with small intestinal obstruction.
- Diagnosis of enteroliths within jejunal diverticula was established intraoperatively.
- Two patients underwent enterolithotomy, and one patient with an inflamed diverticulum had a jejunal resection, with successful outcomes.
Conclusions:
- Small intestinal obstruction due to enteroliths from jejunal diverticula, though rare, requires surgical intervention.
- Laparotomy is crucial for diagnosis and guiding appropriate surgical management.
- Surgical options like enterolithotomy or resection are effective treatments.
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