Health & body · 2015
Can a stone inside a small-intestinal pouch cause a ?
Yes—in this case, surgery revealed multiple pouches in the jejunum, a part of the small intestine, and one had perforated because of a large enterolith, or intestinal stone. The affected jejunum was removed and the abdomen washed out, and the patient recovered well.
Details
This single-patient case report describes a patient who presented with a 4-hour history of sudden-onset, progressively worsening upper abdominal pain. The patient had localized peritonitis, with elevated inflammatory markers and lactate.
A CT scan showed a large calcified mass and evidence of mesenteric twisting/volvulus causing some degree of small bowel obstruction. At laparotomy, an operation to open the abdomen, multiple jejunal diverticula—pouches in the jejunum—were found. One had perforated because of a large enterolith, or intestinal stone.
The affected jejunum was resected and a washout was performed. The patient recovered well.
The report describes complications of jejunal diverticula and enteroliths and concludes that these should be considered in patients presenting with an acute abdomen.
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