多発性小腸狭窄に伴った2層混成真性腸石の1例

概要

論文の詳細を見る
A sixty-seven year old Japanes woman complained of abdominal pain after meals. Abdominal plain X-P showed calculi in the pelvis. Ileography (barium infusion by colonscopy) after admission to the hospital showed a persistent filling defect suggestive of a stone in the ileum with stenosis. At laparotomy, we found enterolith (4.4×3.3×2.7cm, 30g) loctaed 80cm proximal to the ileocecal valve. Her small bowel had multiple stenosis. Endoscopy at ileotomy was suggestive of tubercular stenosis. Ultrainfrared spectrum analysis showed that the inner layer of the enterolith consisted mainly of deoxycholic acid (45.8%) and the outer layer consisted mainly of calicium oxalate (75.2%). Bile acid enterolith is rare; only 35 cases have been reported in medical literature of the world. In Japan, this is the fourth case of bile acid enterolith. Calcium oxalate enterolith is rare, with 52 cases reported throughout the world. In Japan, this is the third case of calcium oxalate enterolith. In medical literature of the world, this seems to be the first case reported of a combination of bile acid layer and calcium oxalate layer found simultaneously in one enterolith.
北里大学の論文
1983-12-31