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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...

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Autores principales: de Silva, G P U P, Rathnasena, B G N, Karunadasa, M S E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10350780/
https://www.ncbi.nlm.nih.gov/pubmed/37465063
http://dx.doi.org/10.1177/2050313X231185952
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author de Silva, G P U P
Rathnasena, B G N
Karunadasa, M S E
author_facet de Silva, G P U P
Rathnasena, B G N
Karunadasa, M S E
author_sort de Silva, G P U P
collection PubMed
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.
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spelling pubmed-103507802023-07-18 An unusual case of small intestinal obstruction secondary to a large primary enterolith de Silva, G P U P Rathnasena, B G N Karunadasa, M S E SAGE Open Med Case Rep Case Report 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. SAGE Publications 2023-07-13 /pmc/articles/PMC10350780/ /pubmed/37465063 http://dx.doi.org/10.1177/2050313X231185952 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
de Silva, G P U P
Rathnasena, B G N
Karunadasa, M S E
An unusual case of small intestinal obstruction secondary to a large primary enterolith
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10350780/
https://www.ncbi.nlm.nih.gov/pubmed/37465063
http://dx.doi.org/10.1177/2050313X231185952
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