Lm. Harris et al., SMALL-BOWEL OBSTRUCTION SECONDARY TO ENTEROLITH IMPACTION COMPLICATING JEJUNAL DIVERTICULITIS, The American journal of gastroenterology, 92(9), 1997, pp. 1538-1540
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.