Small bowel obstruction by enterolith in an elderly woman: a case study

R. Teles, Giovanni Ferreira Viggiano, Geovana Louise Franco, Guilherme de Matos Abe, Otávio Augusto de Paula Mendes Teixeira, João Victor Pereira Gomes, Fernando Gonçalves Lima, Gustavo Abrahão Afiune
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Abstract

          Enteroliths are intraluminal calculi formed in the small bowel, commonly caused by chronic intestinal constipation associated with other comorbidities. We describe an atypical case of enterolithiasis diagnosed with computed tomography scan (CT) and which was confirmed during subsequent surgical resection. A 66-year-old female patient had a history of chronic constipation and use of laxatives and presented with abdominal pain. A CT scan showed heterogeneous annular formations with a hyperdense halo and a hypodense center within the loops of small bowel. A segment was resected for enterectomy, allowing several yellowish stony structures to be identified, corresponding to enteroliths.
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老年妇女肠石引起的小肠梗阻一例
肠结石是在小肠内形成的腔内结石,通常由慢性肠道便秘引起,并伴有其他合并症。我们描述了一个不典型的病例肠结石诊断的计算机断层扫描(CT),并确认在随后的手术切除。66岁女性,有慢性便秘和泻药使用史,腹痛。CT扫描显示不均匀的环形结构,在小肠环内有高密度的晕和低密度的中心。切除一节段进行肠切除术,发现几个黄色石质结构,对应于肠结石。
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