Abstract
A 73-year-old man admitted in our hospital suffering from ileus.
He had three times of abdomen operation previously. He had ileus attack three times the last two months. Intussusception was suspected from CT image and operation was done. Upon laparotomy, there was a cystic lesion with an enterolith in small intestine, 140 cm distal to the ileocecal region. The enterolith was oval shaped, 5.0×3.8cm in dimension. This cystic lesion was duplication of the alimentary tract because of having muscular layer. This duplication with enterolith caused a stenosis on neighboring small intestine. Enterolith in duplication of small intestine is very rare in Japan. The computed tomography is valuable for diagnosis of the cause of ileus.
