Ishioka Mitsuaki, Jin Mario, Matsuhashi Tamotsu, Arata Suguru, Suzuki Yusato, Watanabe Noboru, Sawaguchi Masayuki, Kanazawa Noriyoshi, Onochi Kengo, Hatakeyama Natsumi, Koizumi Shigeto, Mashima Hirosato, Ohnishi Hirohide
Department of Gastroenterology, Akita University Graduate School of Medicine, Japan.
Intern Med. 2015;54(19):2439-42. doi: 10.2169/internalmedicine.54.5208. Epub 2015 Oct 1.
Primary enterolith is a rare condition that can induce ileus and intestinal perforation. We report the first case of a true primary enterolith treated by balloon-assisted enteroscopy. The patient presented with a small intestinal ileus. After its improvement following the insertion of an ileus tube, radiography with amidotrizoate sodium meglumine detected a round, movable defect in the ileum measuring 42 mm diameter. The patient was diagnosed with a primary enterolith based on her past history. The enterolith was fractured and removed using balloon-assisted enteroscopy. This case suggests that balloon-assisted enteroscopy may be an effective non-invasive treatment option for enteroliths.
原发性肠石症是一种可导致肠梗阻和肠穿孔的罕见病症。我们报告首例通过气囊辅助小肠镜治疗的真正原发性肠石症病例。该患者表现为小肠梗阻。在插入肠梗阻导管后病情有所改善，经泛影葡胺造影检查发现回肠有一个直径42毫米的圆形、可移动的充盈缺损。根据患者既往病史诊断为原发性肠石症。通过气囊辅助小肠镜将肠石破碎并取出。该病例表明，气囊辅助小肠镜检查可能是治疗肠石症的一种有效的非侵入性治疗选择。
