Klingler P J, Seelig M H, Floch N R, Branton S A, Metzger P P
Department of General Surgery, Mayo Clinic Jacksonville, Florida, USA.
Dis Colon Rectum. 1999 May;42(5):676-9. doi: 10.1007/BF02234149.
The aim of this study was to report on a rare cause of small-intestinal obstruction caused by small-intestinal enteroliths.
We present three different cases of enterolith formation in the small intestine. One occurred after nontropical sprue, one patient had multiple jejunal diverticula, and another patient had enterolith formation in a blind loop after a small-bowel side-to-side anastomosis.
After initial conservative therapeutic approach all patients underwent surgery. In two patients the enteroliths were removed by ileotomy or jejunostomy. In the third patient the bowel anastomosis had to be revised after removal of the enterolith.
Small-intestinal enteroliths may cause small-bowel obstruction. The first therapeutic approach is nonsurgical; however, if obstruction proceeds, surgical removal with or without revision of underlying pathology is necessary. We discuss the causes and therapeutic management of enteroliths and give a review of related literature.
本研究旨在报告由小肠肠石引起的小肠梗阻这一罕见病因。
我们呈现了三例小肠肠石形成的不同病例。一例发生在非热带性口炎性腹泻之后，一名患者有多个空肠憩室，另一名患者在小肠侧侧吻合术后的盲袢中形成了肠石。
在最初的保守治疗方法之后，所有患者均接受了手术。两名患者通过回肠切开术或空肠造口术取出了肠石。第三名患者在取出肠石后不得不对肠吻合口进行修复。
小肠肠石可能导致小肠梗阻。首要治疗方法是非手术治疗；然而，如果梗阻进展，则需要进行手术切除，可能还需要对潜在病变进行修复。我们讨论了肠石的病因和治疗管理，并对相关文献进行了综述。
