Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus
Primary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruc...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/8965930 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545978617430016 |
|---|---|
| author | Dana Ferrari-Light Ariel Shuchleib Joel Ricci-Gorbea |
| author_facet | Dana Ferrari-Light Ariel Shuchleib Joel Ricci-Gorbea |
| author_sort | Dana Ferrari-Light |
| collection | DOAJ |
| description | Primary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruction distal to the jejunojejunostomy, and surgical intervention was warranted. A 4.5 cm enterolith removed from the distal jejunum was found to contain 100% bile salts, consistent with a primary enterolith. Clinicians should retain a high index of suspicion for enteroliths as a cause of small bowel obstruction, especially if multiple risk factors for enterolith formation are present. |
| format | Article |
| id | doaj-art-316a410092ee4585aee6e92a0668b133 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-316a410092ee4585aee6e92a0668b1332025-02-03T07:24:08ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/89659308965930Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone IleusDana Ferrari-Light0Ariel Shuchleib1Joel Ricci-Gorbea2New York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USANew York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USANew York Presbyterian-Queens, 56-45 Main Street, Flushing NY 11355, USAPrimary enterolithiasis is a relatively uncommon but important cause of small bowel obstruction. We present a case of a 69-year-old male with a history of laparoscopic Roux-en-Y gastric bypass and asymptomatic duodenal diverticulum diagnosed with small bowel obstruction. CT imaging showed an obstruction distal to the jejunojejunostomy, and surgical intervention was warranted. A 4.5 cm enterolith removed from the distal jejunum was found to contain 100% bile salts, consistent with a primary enterolith. Clinicians should retain a high index of suspicion for enteroliths as a cause of small bowel obstruction, especially if multiple risk factors for enterolith formation are present.http://dx.doi.org/10.1155/2018/8965930 |
| spellingShingle | Dana Ferrari-Light Ariel Shuchleib Joel Ricci-Gorbea Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus Case Reports in Surgery |
| title | Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus |
| title_full | Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus |
| title_fullStr | Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus |
| title_full_unstemmed | Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus |
| title_short | Bile Salt Enterolith: An Unusual Etiology Mimicking Gallstone Ileus |
| title_sort | bile salt enterolith an unusual etiology mimicking gallstone ileus |
| url | http://dx.doi.org/10.1155/2018/8965930 |
| work_keys_str_mv | AT danaferrarilight bilesaltenterolithanunusualetiologymimickinggallstoneileus AT arielshuchleib bilesaltenterolithanunusualetiologymimickinggallstoneileus AT joelriccigorbea bilesaltenterolithanunusualetiologymimickinggallstoneileus |