Small bowel obstruction secondary to a liberated Meckel's enterolith. (31st May 2013)

• Record Type: Journal Article
• Authors: Demetriou, Vias; McKean, David; Briggs, James; Moore, Niall
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-05-31
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-008868
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 30-year-old woman presented with a short history of abdominal pain which rapidly progressed to absolute constipation. An abdominal radiograph demonstrated a paucity of bowel gas and a 4 cm lesion with concentric laminar calcification projected over the pelvis. A CT scan revealed a 4 cm giant Meckel's diverticulum, downstream of which a laminated mass was impacted in the lumen of the distal ileum causing small bowel obstruction. Subsequent surgery confirmed small bowel obstruction secondary to impaction of a liberated enterolith from the giant Meckel's diverticulum. The history, imaging appearances and surgical findings in this case are classical of this unusual but treatable condition.