A Case of Enterolith from Jejunal Diverticulum Leading to Obstruction

Abstract

Introduction: Diverticular disease of the small bowel (excluding Meckel’s) is not common and is found mostly in post- mortem examinations, it’s prevalence increases with age. Most of the patients remain asymptomatic and exhibit no symptoms. So the diagnosis is always delayed and found in old aged people. The condition can be complicated by diverticulitis, haemorrhage or perforation [1,2]. The complications of diverticula are life threatening and needs early surgical intervention. Obstruction of small bowel due to formation and extrusion of enterolith is a rare case presentation. Case Presentation: We reported a case of 75-year old woman who presented to emergency room with symptoms of vomiting ,obstipation, abdominal pain. After performing necessary investigation small bowel obstruction was confirmed. On performing exploratory laprotomy, the gall bladder appeared normal with no stones and no abnormal communication with small bowel so the possibility of a gallstone ileus was eliminated. There were multiple diverticula present in jejunum which is suggestive of enterolith formation from small bowel diverticula and its spontaneous extrusion. This was a rare case of small bowel obstruction due to enterolith formation.