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Enterolithiasis-associated ileus in Crohn's disease
Alexander Perathoner1, Pamela Kogler, Christian Denecke
1Department of Visceral, Transplant and Thoracic Surgery, Center of Operative Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria. alexander.perathoner@uki.at
Enterolithiasis, a rare bowel condition, can cause obstruction, especially in Crohn's disease patients. This case highlights an unusual instance of enterolithiasis leading to intestinal obstruction in a young Crohn's disease patient.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Enterolithiasis is a rare gastrointestinal disorder.
- It can manifest with abdominal pain, bleeding, or obstruction.
- Enterolithiasis in Crohn's disease is exceptionally uncommon, typically seen in long-standing cases.
Observation:
- A young male patient with Crohn's disease presented with intestinal obstruction.
- The obstruction was caused by an enterolith.
- The patient underwent emergency laparotomy and ileocecal resection.
Findings:
- This case details an unusual presentation of enterolithiasis-related intestinal obstruction.
- The patient had Crohn's disease classified as A2L3B1 (Montreal Classification).
- A literature review on enterolithiasis characteristics is included.
Implications:
- This case underscores the potential for rare complications in Crohn's disease.
- It highlights the importance of considering enterolithiasis in Crohn's disease patients with obstruction.
- Further understanding of enterolithiasis in inflammatory bowel disease is warranted.
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