A 98-year-old woman presented with several weeks of nausea, vomiting, abdominal pain and anorexia, and was found to have a persistent small bowel obstruction (SBO). A 4 × 3 cm calcified mass was discovered in the small bowel on computed tomography causing suspicion for gallstone ileus. The diagnosis of a calcified enterolith was made after exploratory laparoscopy given the absence of findings for gallstone ileus and the composition of the large amorphous stone. Small bowel obstruction resulting from stone impaction is very rare, with most cases caused by a gallstone ileus or by an enterolith formed in a small bowel diverticulum. We report the second case of proximal SBO caused by a calcified enterolith, but our case is unique due to the absence of small bowel diverticula.
|Original language||English (US)|
|Number of pages||5|
|State||Published - Jan 1 2006|
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