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Enterolith Migration From a Jejunal Diverticulum Resulting in Jejunal Perforation
Romane Brawermann1, Nicolas Claeys1, Olivier Cappeliez2
1Surgery, Hôpital de Braine-L'Alleud, Braine-L'Alleud, BEL.
Cureus
|October 30, 2024
Summary
Proximal jejunal enteroliths, rare small bowel calculi, can cause obstruction and perforation. Early diagnosis and surgical intervention are crucial for favorable outcomes in patients with these challenging conditions.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Proximal jejunal enteroliths are rare calculi formations in the small intestine.
- Their nonspecific presentation complicates diagnosis and management.
Observation:
- A 73-year-old male with a history of small intestinal bacterial overgrowth presented with acute abdominal pain, obstruction, and shock.
- CT scan revealed small bowel perforation and enterolith-induced occlusion.
- Surgery confirmed purulent peritonitis, requiring bowel resection.
Findings:
- Enteroliths form in diverticula due to bowel content stagnation.
- These calculi can lead to symptomatic obstruction or perforation.
- Surgical intervention is the typical management.
Implications:
- Proximal jejunal enteroliths should be considered in patients with small bowel obstruction, especially those with diverticulosis.
- Timely diagnosis and treatment are essential to prevent severe complications.
- Early recognition improves patient prognosis.
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