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Updated: May 2, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Small bowel obstruction and perforation secondary to primary enterolithiasis in a patient with jejunal diverticulosis
Baber Chaudhery1, Peter Alexander Newman, Michael Denis Kelly
1Department of General Surgery, North Bristol NHS Trust, Bristol, UK.
Abstract:
We describe a rare case of small bowel obstruction and perforation secondary to a primary enterolith in an 84-year-old female patient with jejunal diverticulosis. She underwent an emergency laparotomy, small bowel resection and primary anastomosis. Multiple jejunal diverticula and a large stone were identified at the time of operation. Analysis of the stone demonstrated mainly faecal material consistent with a true primary enterolith. A literature search of Medline and PubMed revealed three cases similar to the one described. The pathogenesis and management of enterolithiasis in jejunal diverticular disease is considered.
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