Enterolith with multiple ileal strictures causing sub-acute intestinal obstruction – A rare sequela of mesenteric ischaemia
نویسندگان
چکیده
Intestinal calculi or enteroliths are rare cause of intestinal obstruction. Most commonly formed in setting of intestinal tuberculosis and crohn`s disease, enteroliths can be formed in variety of conditions causing intestinal strictures. We report a case of 75 year old male, who presented with history of recurrent episodes of obstruction. There was a past history of myocardial infarction 2 years back. Patient was a chronic smoker for 40 years. X-ray abdomen showed an oval radio-opaque shadow in right lower quadrant. On laparotomy, multiple ileal strictures were found in distal 4 feets of ileum with an enterolith above proximal most strictures. Resection of affected segment with primary anastomosis was done. HPE was consistent with chronic inflammation. Ischaemic ileal strictures are infrequent cause of intestinal obstruction and formation of enterolith is seldom seen in these cases.
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