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  • Calcified stone in intestinal blind loop after 60 years of surgical treatment of complex jejunal atresia: an attempt to understand an enigma

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Rare disease
Case report
Calcified stone in intestinal blind loop after 60 years of surgical treatment of complex jejunal atresia: an attempt to understand an enigma
  1. Syed H Raza1,
  2. Elamin Elshaikh1,
  3. Mohamed H Ahmed2 and
  4. Mazhar Raja1
  1. 1Department of Surgery, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, UK
  2. 2Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, UK
  1. Correspondence to Dr Mohamed H Ahmed; Mohamed.Hassan-Ahmed{at}mkuh.nhs.uk

Abstract

A 60-year-old woman was presented in emergency department with abdominal pain and vomiting for 1 day. She was known to have seropositive rheumatoid arthritis. Importantly, she was treated surgically for complex jejunal atresia and duplication surgery, when she was 6 days old. CT scan showed intestinal obstruction secondary to intussception. Patient had lapartomy and operative findings revealed side-to-side anastomosis with gut duplication 10 cm distal to duodenal jejunum junction (due to her previous surgery during infancy). Redundant part of the loop dilated up to 300 mL with large hard stone (4×3.5 cm) was excised. Patient recovered well postoperatively and was discharged to go home. To our knowledge, this is the first case report to show formation of large stone 60 years after surgical treatment of complex jejunal atresia and duplication surgery in infancy.

  • gastrointestinal system
  • nutrition
  • stomach and duodenum

https://doi.org/10.1136/bcr-2019-231992

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    Footnotes

    • Contributors EE, MR and SHR in planning. EE, MR, SHR and MHA for conducting and collection of data and information; reporting and writing; conception and design; revision and approval of the final draft of the maunscipt. EE for taking the consent of the patient and getting the consent form signed.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

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