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Enterolith ileus resulting from small bowel diverticulosis.
The American Journal of Gastroenterology
|February 1, 1987
Summary
Small intestine diverticula are rare but can cause complications like obstruction from enteroliths. Surgical removal of these enteroliths typically leads to good outcomes with no observed recurrences.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small intestine diverticula are uncommon acquired pulsion diverticula, often linked to intestinal dyskinesis.
- While typically asymptomatic, they can lead to malabsorption, hemorrhage, diverticulitis, and perforation.
Observation:
- Enterolith formation causing obstruction is an exceptionally rare complication of small intestine diverticula.
- This case presents an ileal obstruction specifically due to a small bowel enterolith.
Findings:
- A literature review identified 25 previous cases of small bowel enterolith obstruction.
- Treatment predominantly involved simple enterolith removal, with some cases requiring small bowel resection.
Implications:
- Enterolith formation is a rare but serious complication of small intestine diverticula.
- Surgical intervention for enterolith obstruction generally yields favorable results and low recurrence rates.