Subacute intestinal obstruction by enterolith: a case study
| Autor: | V. S. Kappikeri, Akshay Mahesh Kriplani |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Enterolith Exploratory laparotomy medicine.medical_treatment Anastomosis Gastroenterology digestive system 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Pathological Ileo-ileal anastomoses Multidisciplinary Case Study business.industry digestive oral and skin physiology medicine.disease Barium meal Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Histopathology Segmental resection business Diverticulum Subacute intestinal obstruction |
| Zdroj: | SpringerPlus |
| ISSN: | 2193-1801 |
| Popis: | Introduction Enteroliths are an uncommon entity in humans and form a rare cause of subacute intestinal obstruction. They occur proximal to stricture or in a diverticulum or a blind loop due to stasis. Case description 40 years male presenting with intermittent right lower abdominal pain since 1 year. Barium meal follow-through and CT abdomen diagnosed as a case of subacute intestinal obstruction with an enterolith in the distal ileal segment. On exploratory laparotomy multiple ileal strictures with mesenteric adhesions were noted. An enterolith was delivered from one of the segments between two strictures followed by segmental resection of the pathological ileal segment with ileo-ileal anastomoses. Histopathology of the ileal segment showed inflammatory infiltrates. Discussion and Evaluation It was a case of a primary enterolith formed due to stasis between ileal strictures causing subacute intestinal obstruction. Conclusion An enterolith should also be considered while evaluating a case of intestinal obstruction as one of the rare differentials. |
| Databáze: | OpenAIRE |
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