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Published on: August 21, 2017
Intussusception caused by an enterolith from a jejunal diverticulum
Gurudutt B Basrur1, Shiv Kumar Utture1, Sarang Agnihotri2
1Department of Surgery, Grant Medical College, Mumbai, 400008 India ; Sir J.J. Group of Hospitals A-303, Shreeji Paradise, Ramesh Nagar, Amboli, Andheri (West) Mumbai, 400058 India.
A rare case of intestinal obstruction caused by an enterolith from jejunal diverticula led to intussusception. This unusual presentation delayed diagnosis and treatment in the patient.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Intestinal obstruction is a common surgical emergency.
- Jejunal diverticula are rare and can lead to complications.
- Enteroliths are hardened masses that can form within the gastrointestinal tract.
Purpose of the Study:
- To report a rare case of intestinal obstruction.
- To highlight intussusception caused by an enterolith from jejunal diverticula.
- To discuss the diagnostic and management challenges of this rare condition.
Main Methods:
- Case report of a female patient presenting with symptoms of intestinal obstruction.
- Intraoperative findings revealed intussusception secondary to an enterolith.
- Review of relevant medical literature for similar cases.
Main Results:
- A rare cause of intestinal obstruction was identified: intussusception due to an enterolith originating from jejunal diverticula.
- The patient's presentation was highly unusual and infrequently reported.
- Delayed diagnosis and management were noted due to the rarity of the condition.
Conclusions:
- Enteroliths from jejunal diverticula are a rare but significant cause of intussusception and intestinal obstruction.
- Increased clinical awareness and diagnostic vigilance are crucial for timely management.
- This case underscores the importance of considering rare etiologies in complex gastrointestinal presentations.
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