Related Experiment Video
Updated: Mar 29, 2026
14:05
A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
32.5K
Enterolith causing bladder outlet obstruction in patient with imperforate anus. A rare case presentation
Mudassir Hussain1, Shah Muhammad1, Muhammad Arsalan Khan1
1Department of Hepatobiliary and Gastrointestinal Surgery, Sindh Institute of Urology and Transplantation (SIUT), Karachi.
JPMA. the Journal of the Pakistan Medical Association
|December 3, 2015
Summary
Enteroliths, or calculus formations, can rarely complicate permanent colostomies in patients with imperforate anus. This case highlights how these formations can cause bowel obstruction and renal failure.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Urology
Background:
- Imperforate anus is a congenital anomaly often part of VACTERL syndrome.
- Modern surgical techniques offer excellent outcomes for imperforate anus.
- Permanent colostomy may be necessary in some cases.
Observation:
- A 28-year-old male with a history of imperforate anus and permanent colostomy presented with urinary and bowel obstruction.
- Investigations revealed two enteroliths within the distal sigmoid colostomy loop.
- The enteroliths caused acute renal failure via urinary retention and large bowel obstruction.
Findings:
- Enterolith formation is a rare complication of long-term colostomy.
- Stasis of colostomy contents can lead to the development of enteroliths.
- These calculi can cause significant obstructive complications.
Implications:
- This case underscores the potential for rare complications in patients with permanent colostomies.
- Awareness of enterolith formation is crucial for managing patients with long-term colostomies.
- Further research may explore preventative strategies for enteroliths in colostomy loops.
Related Concept Videos
01:25Assessment of the Rectum and Anus
1.8K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.8K
01:23Urinary Bladder
4.3K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
4.3K
01:21Inflammatory Bowel Disease V: Surgical Management
840
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
840
01:22Appendicitis-I: Introduction
3.5K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.5K
01:28Microbiota of the Urogenital Tract
35
The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
35
01:25Urinary Tract Calculi VI: Surgical Management
816
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
816