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Related Experiment Video

Updated: Mar 1, 2026

A Mouse Model of Intestinal Partial Obstruction
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Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described.

Ashish Lal Shrestha1, Pradita Shrestha1

  • 1Department of General Surgery, United Mission Hospital, Tansen, Palpa, Nepal.

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Recurrent small bowel enterolithiasis is rare, often presenting as obstruction. This case highlights the need for high suspicion and surgical intervention when conservative measures fail for impacted enteroliths.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Enterolithiasis of the small bowel is uncommon in humans, with primary enteroliths in a healthy gut being exceedingly rare.
  • Recurrent small bowel enteroliths causing obstruction are exceptionally rare, with this case potentially being the first reported instance.

Observation:

  • A 70-year-old man with alcoholic liver disease presented with abdominal pain, vomiting, and constipation.
  • The patient had a history of two prior laparotomies for small bowel obstruction due to enterolith impaction.
  • Conservative management failed, necessitating an exploratory laparotomy.

Findings:

  • A recurrent 5x5 cm enterolith was found impacted in the mid ileum, associated with dense adhesions and bands.
  • Surgical intervention involved adhesiolysis and enterotomy for enterolith removal.

Implications:

  • Recurrent enterolithiasis can lead to repeated bowel obstructions, requiring surgical management.
  • Preoperative diagnosis can be challenging, necessitating a high index of suspicion.
  • While laparoscopy may aid diagnosis and prevent adhesions, it presents technical difficulties.