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Enterolithiasis is the development of intestinal stones, thought to be related to conditions that predispose to stasis and stricture of the intestines and disruption of chemical factors such as pH. It has been described in the setting of inflammatory bowel disease, intestinal tuberculosis, and prior surgery of the bowel. Our patient was a 68-year-old Caucasian female with prior bowel resection secondary to hernia repair who presented many years later with obstructive symptoms including abdominal pain, nausea and vomiting, and ultimately inability to tolerate oral intake.

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Small bowel diverticulosis is rare. False diverticula form in the jejunum, and less commonly, the ileum. As with their large bowel counterparts, these diverticula provide a pocket for stasis of bowel content, leading to the formation of enteroliths.

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Background: True primary enterolithiasis is an uncommon condition, and nontraumatic perforation of the small intestine (NTPSI) is also an unusual entity. Therefore, NTPSI due to true primary enteroliths is an exceptionally rare complication. Moreover, enterolithiasis and radiation enteritis are also unique combinations.

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Introduction: Bouveret Syndrome is a rare but important variant of gallstone ileus with high potential for morbidity and mortality. Bouveret syndrome is a complication of gallstone disease resulting from chronic inflammation and subsequent fistulization between the gallbladder and duodenum or stomach with subsequent impaction of the stone in the proximal GI tract. Here we present a case in an elderly man with moderate medical comorbidities.

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