SELF ASSESSMENT ANSWERS An interesting case of small bowel obstruction

Q4: What are the possible treatment options? The simplest surgical option for small or crushable enteroliths is to milk them distally into the caecum and allow them to pass naturally. If this is not possible, the treatment of this condition is an enterotomy to remove the enterolith with or without resection of the segment of small bowel involved with diverticulosis. Resection may be advocated if the diverticulosis is localised, and is recommended for the other forms of obstruction, haemorrhage, and patients with malabsorption who do not respond to conservative management.