Year: 1995
Type: article
Study design: Case Report
Abstract: Two patients with enterolith were surgically treated in the hospital. Case 1: A 63-year-old man was admitted to the hospital because of coffee-ground vomit. Multiple gastric ulcers were found, and the patient was treated conservatively with oral feeding prohibited. The patient developed intestinal obstruc-tion on day 7 after admission. An ileus tube was passed, and X-ray examination of the small intestine revealed a 7×4×4cm oval filling defect. Based on the results of several examinations, a diagnosis of enterolith ileus was made, and ileotomy with removal of the enterolith was performed. Case 2: A 26-year-old woman was admitted to the hospital because of a right lower abdominal pain. The leukocyte count elevated to 15, 200/mm3. Ultrasonography and CT examinations demonstrated a 2.5cm calculus at the level of the cecum. A differential diagnosis of diverticulitis or appendicitis due to enterolith was made, and surgery was performed on the day of admission. A diagnosis of cecal diverticulitis adjacent to the vermiform appendix was made intraoperatively, and an enterolith 2.5cm in diameter was found in the diverticulum. Excision of the diverticulum and appendectomy were performed.
Institution: Nerima General Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2333087933