Yu Jing, Zhu Sheng-Yi, Li Jing-Jing, Yao Lin-Hua
Department of Gastroenterology, The First People's Hospital of Huzhou First Affiliated Hospital of Huzhou University Huzhou Zhejiang China.
JGH Open. 2025 Mar 17;9(3):e70125. doi: 10.1002/jgh3.70125. eCollection 2025 Mar.
Small bowel obstruction is a common acute abdomen. The disease presentation changes rapidly and differential diagnosis is difficult. If diagnosis and treatment are delayed or inappropriate, the consequences will be serious.
Here, we report here a rare case of small bowel obstruction caused by enteroliths formed in the duodenal diverticulum.
Conservative treatment was not effective. Six days later, the patient underwent emergency exploratory laparotomy to confirm small bowel obstruction, and enterotomy for lithotomy was performed.
Obstruction of the small intestine due to passage of enteroliths from the duodenal diverticulum is rare. There is currently no definitive evidence delineating the optimal duration for non-surgical treatment. However, it should be noted that the postponement of surgical intervention may elevate mortality rates.
小肠梗阻是一种常见的急腹症。该病病情变化迅速，鉴别诊断困难。若诊断和治疗延迟或不当，后果将很严重。
在此，我们报告一例罕见的由十二指肠憩室形成的肠石导致小肠梗阻的病例。
保守治疗无效。六天后，患者接受急诊剖腹探查术以确诊小肠梗阻，并进行了肠切开取石术。
十二指肠憩室的肠石通过导致小肠梗阻较为罕见。目前尚无明确证据界定非手术治疗的最佳时长。然而，应注意手术干预的推迟可能会提高死亡率。
