A CASE OF TRUE ENTEROLITH ACCOMPANIED BY MULTIPLE STENOSIS OF THE SMALL INTESTINE

概要

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Only 41 cases with true enteroliths have been reported in Japan. A case with a true enterolith accompanied by multiple stenosis of the small intestine is presented. A 55-year-old man was admitted to our hospital with a diagnosis of cholecystolithiasis. He had a history of repetitive abdominal pain and unstable bowl habits for ten years. Abdominal CT scans revealed two enteroliths. Abdominal CT just before the operation confirmed one enterolith in the terminal ileum. Laparoscopically-assisted surgery for the enterolith and a cholecystolithiasis revealed multiple stenosis of the ileum and an enterolith at 160 cm from the terminal ileum, No entero-bilary fistula was identified. Cholecystectomy and removal of an enterolith were performed. The analysis of the enterolith, 4 cm maxcimum diameter and 10 g in weight, revealed that it mainly consisted of bile acid. Most of the reported cases with true enteroliths were accompanied by diverticulas, stenosis or blind loops which obstruced intestinal emptying. The existence of multiple stenosis of the small intestine was considerd to be one of the most causative factors for the formation of the true enterolith in the present case.
日本臨床外科学会の論文