Enterolith ileus due to jejunal diverticulosis

Am J Surg. 2010 Apr;199(4):e45-7. doi: 10.1016/j.amjsurg.2009.05.042.

Abstract

Jejunal diverticulosis is a rare malformation that is often asymptomatic. Complications might be similar to those occurring in large-bowel diverticula but also include a much more particular event: intestinal obstruction due to migration and impaction of enterolith formed inside diverticula. This is a very uncommon entity; diagnosis and management are thus often delayed. Mostly surgical exploration is necessary because obstruction symptoms are unresponsive to medical treatment. The authors report a new case of enterolith ileus in a 74-year-old man, due to jejunal diverticulosis, and its successful surgical management in emergency. Only 39 similar cases have ever been reported in the literature.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Contrast Media
  • Diagnosis, Differential
  • Diatrizoate Meglumine
  • Diverticulum / complications*
  • Diverticulum / diagnosis
  • Diverticulum / surgery
  • Emergency Treatment / methods*
  • Humans
  • Ileus / diagnosis
  • Ileus / etiology*
  • Ileus / surgery*
  • Jejunal Diseases / complications*
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / surgery
  • Lithiasis / diagnosis
  • Lithiasis / etiology*
  • Lithiasis / surgery*
  • Male
  • Tomography, X-Ray Computed / methods

Substances

  • Contrast Media
  • Diatrizoate Meglumine