Incidental enterolithiasis.
نویسندگان
چکیده
CASE REPORT A 68-year-old female presented with a four week history of anorexia, tenesmus and pain on defaecation. There was no significant past medical history. On exam ination she was clinically anaemic and a 5cm diameter mobile mass was palpable in the right iliac fossa. Rectal examination and sigmoidoscopy were normal. Haemoglobin concentration was 10-8 g/dl. Serum iron and ferritin. concentrations were low. A barium enema revealed no colonic abnormality but demonstrated a laminated opacity 4-5cm diameter overlying the ala of the right ilium (Fig 1). After a short delay, barium flooded into the terminal ileum and the laminated opacity was shown to be mobile within the dilated terminal ileum (Fig 2). One of the inner rings of the opacity was of metallic density. An ultrasound scan showed the gallbladder to be free from calculi. At laparotomy a large calculus was removed from the terminal ileum. The gallbladder was normal, as was the remainder of the small bowel; in particular there were no diverticula or strictures. The calculus was found to be disc.like with a central defect. On sectioning, the calculus was found to consist of dry, faecal smelling vegetable material surrounding a gold ring. The patient was unable to remember swallowing a ring.
منابع مشابه
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عنوان ژورنال:
- The Ulster Medical Journal
دوره 58 شماره
صفحات -
تاریخ انتشار 1989