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Rare disease
CASE REPORT
Small bowel obstruction due to a jejunal enterolith: an unusual complication of jejunal diverticulitis
  1. Lalita Malghan1,
  2. Ashley Uttley2,
  3. David Scullion2
  1. 1Radiology, Leeds Radiology Academy, Leeds, UK
  2. 2Radiology, Harrogate District General Hospital, Harrogate, UK
  1. Correspondence to Dr Lalita Malghan, lmalghan{at}yahoo.com

Summary

A 91-year-old woman presented with symptoms of acute bowel obstruction supported by clinical findings. A CT of the abdomen was performed which demonstrated jejunal diverticulosis with a single inflamed, wide necked diverticulum. A large enterolith was found to be impacted in the jejunum just distal to the area of inflammation resulting in small bowel obstruction. The patient underwent emergency laparotomy, which confirmed the CT findings. Small bowel resection was performed. The patient had an uneventful postoperative recovery.

  • radiology
  • gastrointestinal surgery
  • general surgery

https://doi.org/10.1136/bcr-2017-221514

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    Footnotes

    • Contributors LM: Did the literature search, wrote the Initial draft of the case report and obtained patient consent. AU: Reviewed the CT images and issued the radiology report during the patients admission to the hospital; helped with editing the manuscript. DS: Originally identified that this interesting case has several learning points and suggested to consider this for publication; helped with editing the case report and made appropriate suggestions.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.