Lopez P V, Welch J P
Department of Surgery, Hartford Hospital, Connecticut.
Dis Colon Rectum. 1991 Oct;34(10):941-4. doi: 10.1007/BF02049713.
Diverticulosis of the small bowel, complicated by enterolith formation with ensuing obturation obstruction, was recently documented in two patients. One patient had an enterolith formed within a Meckel's diverticulum; the other had an enterolith dislodged from an acquired diverticulum. Both patients presented with signs and symptoms of acute small bowel obstruction. Only 20 such cases of bowel obstruction secondary to jejunal enterolithiasis and five cases secondary to Meckel's enterolithiasis have been reported. The mechanism of obstruction may involve local encroachment or enterolith expulsion with distal bowel obstruction, although the latter is much more common. Optimally, enteroliths are broken up and milked into the proximal colon without incising the bowel. Alternatively, the enterolith may be milked proximally to a less edematous portion of bowel and an enterotomy may be performed. At times, the primary diverticulum is resected with the contained enterolith.
小肠憩室病，并发肠石形成并继而导致闭塞性梗阻，最近在两名患者中得到证实。一名患者在梅克尔憩室内形成了肠石；另一名患者的肠石从后天性憩室中脱落。两名患者均表现出急性小肠梗阻的体征和症状。据报道，仅有20例因空肠肠石症继发肠梗阻的病例以及5例因梅克尔憩室肠石症继发肠梗阻的病例。梗阻机制可能涉及局部压迫或肠石排出伴远端肠梗阻，尽管后者更为常见。最佳方法是在不切开肠管的情况下将肠石破碎并挤入近端结肠。或者，可将肠石向近端挤入肠管水肿较轻的部位，然后进行肠切开术。有时，将原发性憩室与其中所含的肠石一并切除。
