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Related Experiment Videos

An unusual enterolith ileus.

Ismael Mora-Guzmán1, José Luis Muñoz de Nova1, Ana Rodríguez Sánchez1

  • 1Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, España.

Revista Espanola De Enfermedades Digestivas
|April 5, 2017
PubMed
Summary

Duodenal diverticula can rarely cause enteroliths, leading to intestinal obstruction. This case highlights a phytobezoar migrating from a duodenal diverticulum to cause jejunal obstruction in an elderly patient.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Digestive Diseases

Background:

  • Duodenal diverticula are uncommon and often asymptomatic.
  • Enterolith formation within diverticula is a rare occurrence.
  • Intestinal obstruction from migrating foreign bodies is exceptionally rare.

Observation:

  • An 86-year-old woman presented with obstructive symptoms.
  • A phytobezoar was identified as the cause of obstruction.
  • The foreign body had migrated from a duodenal diverticulum to the jejunum.

Findings:

  • The patient underwent emergency laparotomy for phytobezoar extraction.
  • Enterolith ileus secondary to duodenal diverticula is an exceptional entity.
  • Diagnosis and management are often delayed due to non-specific symptoms.

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Implications:

  • Early surgical exploration is crucial for bowel disimpaction.
  • This condition should be considered in elderly patients with prolonged immobilization or neurodegenerative diseases.
  • Highlights the rare but serious complication of duodenal diverticula.