An unusual case of small intestinal obstruction secondary to a large primary enterolith
Enterolithiasis is an uncommon entity in humans but frequently seen in equine mammals. A primary enterolith is a mineral concretion formed within the gastrointestinal tract due to the alteration in the anatomical integrity due to variety of conditions resulting in intestinal stasis. We report a pati...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-07-01
|
| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231185952 |
| _version_ | 1797780949950267392 |
|---|---|
| author | G P U P de Silva B G N Rathnasena M S E Karunadasa |
| author_facet | G P U P de Silva B G N Rathnasena M S E Karunadasa |
| author_sort | G P U P de Silva |
| collection | DOAJ |
| description | Enterolithiasis is an uncommon entity in humans but frequently seen in equine mammals. A primary enterolith is a mineral concretion formed within the gastrointestinal tract due to the alteration in the anatomical integrity due to variety of conditions resulting in intestinal stasis. We report a patient with small intestinal obstruction due to a primary enterolith. A 65-year-old woman presented to the emergency department with central colicky abdominal pain, absolute constipation followed by vomiting. An enterolith located in distal ileum causing small intestinal obstruction was established with the aid of abdominal X-ray radiograph and computed tomography. Exploratory laparotomy was performed to extract the enterolith and to resect a strictured proximal jejunal segment which was suspected to be the original site of enterolith formation. Chemical analysis of the enterolith supports the speculation of a proximally formed primary enterolith eventually migrating to the site of impaction in the terminal ileum. |
| first_indexed | 2024-03-12T23:51:01Z |
| format | Article |
| id | doaj.art-2097ac9a0fd04c8a824ae7e97d7ee129 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-12T23:51:01Z |
| publishDate | 2023-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-2097ac9a0fd04c8a824ae7e97d7ee1292023-07-13T13:03:50ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-07-011110.1177/2050313X231185952An unusual case of small intestinal obstruction secondary to a large primary enterolithG P U P de Silva0B G N Rathnasena1M S E Karunadasa2Postgraduate Institute of Medicine, University of Colombo, Colombo, Sri LankaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri LankaDepartment of Surgery, Faculty of Medicine, Wayamba University of Sri Lanka, Kuliyapitiya, Sri LankaEnterolithiasis is an uncommon entity in humans but frequently seen in equine mammals. A primary enterolith is a mineral concretion formed within the gastrointestinal tract due to the alteration in the anatomical integrity due to variety of conditions resulting in intestinal stasis. We report a patient with small intestinal obstruction due to a primary enterolith. A 65-year-old woman presented to the emergency department with central colicky abdominal pain, absolute constipation followed by vomiting. An enterolith located in distal ileum causing small intestinal obstruction was established with the aid of abdominal X-ray radiograph and computed tomography. Exploratory laparotomy was performed to extract the enterolith and to resect a strictured proximal jejunal segment which was suspected to be the original site of enterolith formation. Chemical analysis of the enterolith supports the speculation of a proximally formed primary enterolith eventually migrating to the site of impaction in the terminal ileum.https://doi.org/10.1177/2050313X231185952 |
| spellingShingle | G P U P de Silva B G N Rathnasena M S E Karunadasa An unusual case of small intestinal obstruction secondary to a large primary enterolith SAGE Open Medical Case Reports |
| title | An unusual case of small intestinal obstruction secondary to a large primary enterolith |
| title_full | An unusual case of small intestinal obstruction secondary to a large primary enterolith |
| title_fullStr | An unusual case of small intestinal obstruction secondary to a large primary enterolith |
| title_full_unstemmed | An unusual case of small intestinal obstruction secondary to a large primary enterolith |
| title_short | An unusual case of small intestinal obstruction secondary to a large primary enterolith |
| title_sort | unusual case of small intestinal obstruction secondary to a large primary enterolith |
| url | https://doi.org/10.1177/2050313X231185952 |
| work_keys_str_mv | AT gpupdesilva anunusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith AT bgnrathnasena anunusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith AT msekarunadasa anunusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith AT gpupdesilva unusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith AT bgnrathnasena unusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith AT msekarunadasa unusualcaseofsmallintestinalobstructionsecondarytoalargeprimaryenterolith |