Abstract
Enteroliths are infrequently encountered. We report here a case of a surgically treated enterolith with perforation and ileus. A 68-year-old woman presented with lower abdominal pain. Physical examination at admission showed tenderness with Blumberg sign of her lower abdomen and a painful mass was palpated in the right lower quadrant. Plain abdominal X-ray film showed abnormal intestinal gas and calcified stone shadows in the pelvic cavity. Pelvic computed tomography revealed calcified stone shadows in the bowel. Blood laboratory studies showed 15, 600 leucocytes per mm3 and 14.8mg of CRP per dl. An emergency operation was carried out. During laparotomy, segmental stenosis and a pin-hole perforation in the ileum 40cm orad from ileocecal portion were detected, and intestinal stones were palpated in the lumen. Part of the ileum was resected and a calcium enterolith was diagnosed by chemical analysis by infrared rays. In the present case, stenosis of the ileum due to adhesion after appendectomy was considered to have caused stagnation of the intestinal contents, which led to formation of the enterolith.
