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Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described
المؤلفون المشاركون
Shrestha, Ashish Lal
Shrestha, Pradita
المصدر
Case Reports in Gastrointestinal Medicine
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-05-14
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
Enterolithiasis of the small bowel is a rare phenomenon in humans although it has been frequently described in equines.
Primary enteroliths have been described including those occurring secondary to conditions like Crohn’s disease, small bowel diverticula, tuberculous or postoperative strictures, and blind loops but those occurring in an otherwise normal gut are exceedingly rare.
Of even greater rarity is a recurrent small bowel enterolith presenting with obstruction.
This may be the first report of such kind.
Case Presentation.
A 70-year-old man undergoing treatment for stable alcoholic liver disease presented to the emergency with gradually progressive diffuse abdominal pain associated with vomiting and constipation for 7 days.
He had gaseous abdominal distention but was not obstipated.
He had a history of 2 laparotomies in the past for small bowel obstruction secondary to enterolith impaction.
He was initially managed conservatively but since there was no significant clinical improvement, he underwent an exploratory laparotomy.
A recurrent enterolith 5 × 5 cm in size was found impacted in the mid ileum with multiple dense serosal adhesions and bands.
Adhesiolysis and enterotomy with removal of enterolith were performed.
Conclusion.
Recurrent enterolithiasis of the small bowel is a rare phenomenon and may present with recurrent obstruction.
Definitive preoperative diagnosis is not always possible and a high index of suspicion is required to avoid table misdiagnosis.
Surgery is the mainstay of treatment once conservative measures fail.
Laparoscopic methods may help in diagnosis and avoid possibility of a subsequent adhesive bowel obstruction but are associated with technical challenges.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shrestha, Ashish Lal& Shrestha, Pradita. 2017. Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145526
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shrestha, Ashish Lal& Shrestha, Pradita. Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145526
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shrestha, Ashish Lal& Shrestha, Pradita. Recurrent Enterolithiasis Small Bowel Obstruction: A Case Seldom Described. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145526
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145526
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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