Agrawal Nikhil, Khadka Bishal, Bist Devendra
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Int J Surg Case Rep. 2025 Sep;134:111694. doi: 10.1016/j.ijscr.2025.111694. Epub 2025 Jul 16.
The enteroliths are stones of the intestines that may form along the passage of the gastrointestinal tract, especially within the ileum. Their clinical and radiological presentations vary, often leading to misdiagnosis. They may result in delayed complications like intestinal obstruction.
We present a case of enterolithiasis secondary to ileal stricture post-appendectomy, in a 69-year-old male, which was then treated successfully via segmental ileal resection with enterolith extraction and ileoileal anastomosis in our tertiary center after thorough examination.
This case highlights how a seemingly routine post-surgical history can hide a rare condition like enterolithiasis. In our patient, chronic abdominal discomfort after an old appendectomy turned out to be due to a stone formed in the small intestine because of a stricture. It reminds clinicians to consider atypical etiologies when symptoms persist, and to review past surgeries as potential contributors to delayed complications.
Enteroliths are caused by altered bowel state and may seldom cause bowel obstruction. Imaging usually suffices for diagnosis but mimics must be ruled out. Treatment includes endoscopic or surgical removal of enterolith and addressing any causative factors.
肠石是在胃肠道内形成的结石，可沿胃肠道通道形成，尤其是在回肠内。其临床表现和影像学表现各不相同，常导致误诊。它们可能会引发肠梗阻等延迟性并发症。
我们报告一例69岁男性患者，因阑尾切除术后回肠狭窄继发肠石症，在我们的三级中心经过全面检查后，通过节段性回肠切除并取出肠石及回肠端端吻合术成功治疗。
该病例凸显了看似常规的手术史如何掩盖像肠石症这样的罕见病症。在我们的患者中，既往阑尾切除术后的慢性腹部不适原来是由于狭窄导致小肠内形成结石所致。这提醒临床医生，当症状持续时要考虑非典型病因，并回顾既往手术作为延迟性并发症的潜在原因。
肠石由肠道状态改变引起，很少导致肠梗阻。影像学检查通常足以确诊，但必须排除假象。治疗包括通过内镜或手术取出肠石并处理任何致病因素。
