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Enterolith Migration From a Jejunal Diverticulum Resulting in Jejunal Perforation.
Cureus
September 2024
Radiology, Hôpital de Braine-L'Alleud, Braine-L'Alleud, BEL.
Proximal jejunal enteroliths, a rare form of small bowel pathology, involve calculi formation within the proximal ileum, leading to complications such as bowel obstruction and perforation. Due to their rarity and nonspecific presentation, enteroliths pose diagnostic and management challenges for clinicians. A 73-year-old male with a history of small intestinal bacterial overgrowth was admitted with acute abdominal pain, small bowel obstruction, and hypovolemic haemorrhagic shock.
View Article and Find Full Text PDFThree-dimensional Pouchography: A Proof-of-concept Study of a Breakthrough Technique for Visualising Ileoanal Pouch Anatomy and Morphology in Normal and Mechanical Pouch Complication Patients.
J Crohns Colitis
September 2024
Department of Gastroenterology, Hepatology & Nutrition, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USA.
Background: Herein, we present a proof-of-concept study of three-dimensional [3D] pouchography using virtual and printed 3D models of ileal pouch-anal anastomosis [IPAA] in patients with normal pouches and in cases of mechanical pouch complications.
Methods: We performed a retrospective, descriptive case series of a convenience sample of 10 pouch patients with or without pouch dysfunction, who had CT scans appropriate for segmentation who were identified from our pouch registry. The steps involved in clinician-driven automated 3D reconstruction are presented.
Jejunal Diverticulosis Presenting With Small Bowel Obstruction: A Diagnostic Challenge.
Cureus
March 2024
Colorectal Surgery, Norfolk and Norwich University Hospital National Health Service (NHS) Foundation Trust, Norwich, GBR.
We report the case of a woman presenting with small bowel obstruction secondary to an enterolith that formed within a jejunal diverticulum. Prior to this acute presentation, the patient had experienced regular abdominal pain albeit not as severe as the current episode. The CT scan on admission required review by two consultant radiologists before the cause of the small bowel obstruction was diagnosed.
View Article and Find Full Text PDFMassive Small Bowel Enterolith in Post Cystoprostatectomy Ileal Cul-de-sac : A Unique Presentation of a Rare Clinical Condition.
J West Afr Coll Surg
February 2024
Department of Urology, East Kent Hospitals University NHS Foundation Trust, Canterbury, Kent, UK.
Enterolithiasis or formation of gastrointestinal concretions is an unusual medical entity that typically occurs in patients suffering from persistent intestinal stasis. We present a rare case of non-obstructive enterolith wedged in the blind end of bowel reconstruction following cystoprostatectomy and ileal conduit formation due to muscle-invasive bladder cancer. Although we watched it grow over the years, radiological characterisation was made possible when it grew to a significant size.
View Article and Find Full Text PDFThe role of computed tomography in enterolith causing small bowel obstruction: A case series.
Medicine (Baltimore)
September 2023
Department of Radiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, China.
Intestinal obstruction caused by enteroliths is an uncommon medical condition. Timely detection of the presence of enteroliths and identification of their origin can guide clinical treatment. This study aimed to present the Computed Tomography (CT) features of enterolithic ileus confirmed by surgery in 7 patients.
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