Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : PD11 - PD12

Meckelís Diverticulum Enterolith: An Extremely Rare Cause of Intestinal Obstruction

Nikolaos Symeonidis, Athanasios Kofinas, Kyriakos Psarras, Efstathios Pavlidis, Theodoros Pavlidis

1. Consultant Surgeon, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece. 2. Resident Surgeon, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece. 3. Assistant Professor, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece. 4. Consultant Surgeon, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece. 5. Professor, Second Surgical Propedeutic Department, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece.

Correspondence Address :
Dr. Nikolaos Symeonidis,
Hippokratio General Hospital, Konstantinoupoleos 49, Thessaloniki-56224, Greece.
E-mail: niksym@hotmail.com

Abstract

Meckelís diverticulum is usually asymptomatic but occasionally presents with complications. Formation of an enterolith inside a Meckelís diverticulum is very uncommon and dislodgement of such a stone causing obstruction is extremely rare. We herein present a case of a 48-year-old man who presented with small bowel obstruction. Preoperative radiologic studies revealed a stone-like lesion in the right lower quadrant. Upon laparotomy, an inflamed Meckelís diverticulum was found as well as a 2.5 cm stone obstructing the terminal ileum. The stone was removed and the diverticulum was excised. The differential diagnosis of acute intestinal obstruction should include this extremely rare clinical entity especially when the combination of small bowel obstruction with radiopaque stone-like finding on preoperative x-rays is present.

Keywords

Intestinal stone, Meckelitis, Small bowel obstruction.

How to cite this article :

Nikolaos Symeonidis, Athanasios Kofinas, Kyriakos Psarras, Efstathios Pavlidis, Theodoros Pavlidis. MECKELíS DIVERTICULUM ENTEROLITH: AN EXTREMELY RARE CAUSE OF INTESTINAL OBSTRUCTION. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 May 30 ]; 11:PD11-PD12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=PD11-PD12&id=9751

DOI and Others

DOI: 10.7860/JCDR/2017/25941.9751


Date of Submission: Dec 10, 2016
Date of Peer Review: Dec 31, 2016
Date of Acceptance: Feb 20, 2017
Date of Publishing: Apr 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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