Partial Small Bowel Obstruction Secondary to Intestinal Stone (Enterolith): A Very Rare Case Report


  • Muntadher Mohammed Ashur General Surgery Specialist Department of General Surgery Al-Nasiriyah Teaching Hospital Thi-Qar, Iraq


Enterolithiasis is an uncommon pathological condition in which calculi or concretion formation
occurs in the intestines and has a prevalence ranging from 0.3 to 10%.1The mortality rate for
uncomplicated primary enterolithiasis is very low, but it rises to 3% in poorly conditioned
patients with significant obstruction and a late diagnosis. Primary enteroliths arise in areas of
intestinal stasis in the setting of diverticular disease, surgical enteroanastomosis, blind pouches,
and intestinal stenosis or strictures seen in the infectious or inflammatory bowel diseases.
Secondary enteroliths include gallbladder and renal stones that may migrate into the
gastrointestinal tract as a result of fistula formation. Enteroliths can cause bowel obstruction,
If .haemorrhage, or perforation, but the vast majority are cleared asymptomatically
Treatment .nonoperative therapeutic management fails, surgical exploration is indicated.2
relies on timely recognition of the disease and endoscopic or surgical intervention. With
.advents in new technology, improved outcome is expected for patients with enterolithiasis 3
abdominal pain, nausea, ”tumbling“Presentation is often nonspecific, but typically includes
and vomiting related to the bowel obstruction, and may potentially lead to the gastrointestinal
bleeding and perforation. We present a case of primary enterolith in 7 year old boy resulting in
symptoms of partial small bowel obstruction and highlight the rarity of condition


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]Google Scholar[ ]CrossRef[ ]PubMed[ ]PMC free article[ doi: 10.3748/wjg.v20.i47.17819