SMALL-BOWEL OBSTRUCTION SECONDARY TO ENTEROLITH IMPACTION COMPLICATING JEJUNAL DIVERTICULITIS

A case of small bowel obstruction secondary to enterolith impaction in the presence of jejunal diverticular disease is described, Only 27 ca ses of small bowel obstruction by enterolith expelled from small bowel diverticula have been reported in the literature. The reported incide nce of jejunal diverticulosis in the general population ranges from 0. 02 to 7.1%. Most patients are asymptomatic, but 10% develop complicati ons requiring surgical intervention, Surgical treatment is an enteroto my and stone extraction or manually crushing and milking the stone dis tally into the colon, Small bowel resection and anastomosis or laparos copic-assisted small bowel resection are indicated for the treatment o f diverticulitis, bowel perforation, or multiple diverticuli, Jejunal diverticular disease should be considered in the differential diagnosi s of mechanical small bowel obstruction without an obvious cause, espe cially in the elderly population.