Table of Contents
Scholarly Research Exchange
Volume 2009 (2009), Article ID 653965, 4 pages
http://dx.doi.org/10.3814/2009/653965
Case Report

Enterolith Small-Bowel Obstruction Caused by Crohn's Disease

1Department of Surgery for Organ Function and Biological Regulation, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
2Department of Surgery, Mitsubishi Heavy Industries Ohkurayama Hospital, 1-1-23 Tarumachi Kohoku-ku Yokohama, Kanagawa, Japan

Received 25 July 2008; Accepted 29 January 2009

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.

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.