From scar to stone: Enterolith formation in an ileal stricture post-appendectomy - A case report and literature...

The enteroliths are stones of the intestines that may form along the passage of the gastrointestinal tract, especially within the ileum. Their clinical and radiological presentations vary, often leading to misdiagnosis. They may result in delayed complications like intestinal obstruction.

We present a case of enterolithiasis secondary to ileal stricture post-appendectomy, in a 69-year-old male, which was then treated successfully via segmental ileal resection with enterolith extraction and ileoileal anastomosis in our tertiary center after thorough examination.

This case highlights how a seemingly routine post-surgical history can hide a rare condition like enterolithiasis. In our patient, chronic abdominal discomfort after an old appendectomy turned out to be due to a stone formed in the small intestine because of a stricture. It reminds clinicians to consider atypical etiologies when symptoms persist, and to review past surgeries as potential contributors to delayed complications.

Enteroliths are caused by altered bowel state and may seldom cause bowel obstruction. Imaging usually suffices for diagnosis but mimics must be ruled out. Treatment includes endoscopic or surgical removal of enterolith and addressing any causative factors.