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Large enterolith in a meckels diverticulum causing perforation and bowel obstruction: an interesting case with review
Umesh Gadhia1, Devinder Raju2, Rajeev Kapoor1
1Lyell McEwin Health Service, Elizabethvale, South Australia 5112 Australia.
The Indian Journal of Surgery
|January 16, 2014
Abstract:
Enteroliths are a rare complication of Meckel's diverticula, with perforation of the diverticulum being an even rarer occurrence. Bowel obstruction secondary to a Meckel's enterolith, albeit uncommon, occurs due to inflammation, intussusception, or impaction after extrusion from the diverticulum. We report an unusual case of Meckel's enterolithiasis causing perforation and bowel obstruction.
Insights
Enteroliths, rare complications of Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Enteroliths are uncommon complications associated with Meckel's diverticula.
- Perforation of Meckel's diverticulum by an enterolith is exceedingly rare.
Purpose of the Study:
- To report an unusual case of Meckel's enterolithiasis.
- To highlight the potential for perforation and bowel obstruction secondary to Meckel's enteroliths.
Main Methods:
- Case report detailing clinical presentation, diagnostic findings, and surgical management.
- Review of relevant literature on Meckel's diverticula and enterolithiasis.
Main Results:
- A case of Meckel's enterolithiasis presenting with both perforation and bowel obstruction is described.
- The enterolith's extrusion from the diverticulum led to secondary complications.
Conclusions:
- Meckel's enterolithiasis can lead to severe complications including perforation and obstruction.
- This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of unexplained bowel obstruction and perforation.
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