Enterolith Small-Bowel Obstruction Caused by Crohn's Disease

Akagi, Ichiro; Miyashita, Masao; Hashimoto, Masayoshi; Makino, Hiroshi; Nomura, Tsutomu; Hagiwara, Nobutoshi; Takahashi, Ken; Tajiri, Takashi

doi:https://doi.org/10.3814/2009/653965

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Volume 2009 | Article ID 653965 | https://doi.org/10.3814/2009/653965

Enterolith Small-Bowel Obstruction Caused by Crohn's Disease

Ichiro Akagi,¹Masao Miyashita,¹Masayoshi Hashimoto,²Hiroshi Makino,¹Tsutomu Nomura,¹Nobutoshi Hagiwara,¹Ken Takahashi,¹and Takashi Tajiri¹

Received25 Jul 2008

Accepted29 Jan 2009

Published25 Feb 2009

Abstract

We herein report on the successful surgical treatment of Crohn's disease with enteroliths formed in the ileum. A 58-year-old man presented with abdominal colicky pain, and long-standing constipation. He was diagnosed as ileus due to enteroliths and was initially managed conservatively, but improvement was not observed either clinically or on radio imaging. We, therefore, performed a laparotomy, which revealed Crohn's disease with enteroliths in the ileum. Because the enteroliths in the ileum were not mobile and could not be broken manually, we carried out a segmental bowel resection with the removal of the enteroliths. The pathology report revealed Crohn's disease with enteroliths. Intestinal obstruction caused by enteroliths associated with Crohn's disease occurs rarely, and is difficult to be diagnosed and managed.

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Copyright © 2009 Ichiro Akagi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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