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Meckel's Diverticulum Enterolith: An Extremely Rare Cause of Intestinal Obstruction

Nikolaos Symeonidis1, Athanasios Kofinas2, Kyriakos Psarras3

  • 1Consultant Surgeon, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

Journal of Clinical and Diagnostic Research : JCDR
|June 3, 2017
PubMed

Insights

A rare case of small bowel obstruction caused by an enterolith from Meckel's diverticulum highlights a critical, though uncommon, cause of intestinal blockage. This emphasizes the need to consider Meckel's diverticulum enteroliths in the differential diagnosis of bowel obstruction.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • It is typically asymptomatic but can lead to various complications.

Observation:

  • A 48-year-old male presented with symptoms of small bowel obstruction.
  • Radiological imaging identified a stone-like lesion in the right lower quadrant.

Findings:

  • Laparotomy revealed an inflamed Meckel's diverticulum containing a 2.5 cm enterolith.
  • This enterolith was causing obstruction of the terminal ileum.

Implications:

  • This case underscores the extreme rarity of enterolith formation and dislodgement within Meckel's diverticulum leading to obstruction.
  • It highlights the importance of including Meckel's diverticulum enteroliths in the differential diagnosis for patients presenting with small bowel obstruction, particularly when radiopaque findings are present on imaging.
Keywords:
Intestinal stoneMeckelitisSmall bowel obstruction

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