AI Article Synopsis

  • * Instead of surgery, the medical team administered 1,000 mL of cola daily through an ileus tube, successfully resolving the obstruction by day 6.
  • * Analysis of the excreted stones revealed they were primarily calcium phosphate, and laboratory tests confirmed they could be dissolved in cola and other acidic solutions, indicating an acid-base reaction was responsible for the dissolution.

Article Abstract

An 87-year-old bedridden woman developed intestinal obstruction caused by an enterolith or bezoar. Since the patient refused surgery, we administered 1,000 mL/day of cola via an ileus tube to dissolve the stone. Occlusion of the small intestine disappeared on day 6. The excreted stones contained calcium phosphate, which is typical of enteroliths. We later confirmed that the retrieved stones could be dissolved in cola (Coca-Cola, pH 1.9) as well as 0.10 and 0.010 mol/L hydrochloric acid (pH 1.0 and 2.0, respectively) and food-grade vinegar (pH 2.6). These findings suggest that the enteroliths were dissolved by an acid-base reaction.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761349PMC
http://dx.doi.org/10.2169/internalmedicine.2745-19DOI Listing

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