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Intramural enterolith mimicking malignancy in the terminal ileum: a rare case report
Jaber Ali Al-Faifi1, Ghaida Hassan Alharbi2, Ghada Ibraheem Alshaher2
1Department of General and Colorectal Surgery, King Saud Medical City, Imam Abdulaziz bin Mohammed bin Saud Road, Al Shumaisi District, Riyadh 12746, Ar Riyad Province, Saudi Arabia.
Abstract:
Enterolithiasis is an uncommon condition characterized by the formation of calculi within the intestinal lumen or bowel wall, often associated with intestinal stasis or structural abnormalities. Although many enteroliths remain asymptomatic, impacted stones may cause obstruction, inflammation, or perforation and can mimic malignancy or chronic infection. We report a case of a 54-year-old male presenting with constitutional symptoms and imaging findings suggestive of a terminal ileal mass with contained perforation. Further evaluation demonstrated an intramural enterolith. Because malignancy could not be excluded, surgical resection was performed. Histopathology confirmed inflammatory changes surrounding an impacted enterolith without malignancy. This case highlights the diagnostic challenge of enterolithiasis when presenting as a mass-like lesion and emphasizes the importance of considering benign etiologies in complex abdominal presentations.
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