BACKGROUND Enterolithiasis of the small bowel is a rare phenomenon in humans although it has been frequently described in equines. Primary enteroliths have been described including those occurring secondary to conditions like Crohn's disease, small bowel diverticula, tuberculous or postoperative strictures, and blind loops but those occurring in an otherwise normal gut are exceedingly rare. Of ...

A 60-year-old man with complaints of diarrhea and a previous history of colonic carcinoma which was operated several years back underwent a multidetector computed tomographic (MDCT) scan of the abdomen which revealed a subtotal colectomy status with preservation of the sigmoid colon and the rectum. A side-to-side anastomosis between the ileum and the sigmoid colon was noted (Fig. 1). The blind ...

W read the article by Dumper and colleagues with interest, and we would like to add to their series by describing the phenomenon of small bowel obstruction secondary to an adhesion from the distal end of a Meckel’s diverticulum. The adhesion formed a band that trapped a loop of ileum. The case in question involved a fit gentleman, aged 33 years, who had received a few blows to the abdomen durin...

Multiple faceted radio-opaque stones within the abdomen are usually situated in the gall bladder, and the incidence of gall stones is increased in patients with Crohn's disease.' Enteroliths may rarely be found in a Meckel's diverticulum,2 and there is an increased-incidence of Meckel's diverticulum in Crohn's disease.3 Stones in a Meckel's diverticulum associated with Crohn's disease have not ...

Meckel diverticulum (MD) is the most frequently seen congenital anomaly of the gastrointestinal system. Littre hernia (LH) is defined as the presence of MD in a hernia sac. Although LH is commonly seen in emergency surgeries such as incarceration and obstruction or hemorrhage, it is rare in elective surgeries. Herein, we present a rare case of MD which was detected during elective inguinal hern...

The principles governing the in vitro solubility of the common natural conjugated and unconjugated bile acids and salts in relation to pH, micelle formation, and Ca2' concentration arc considered from a theoretical standpoint and then correlated first with experimental observations on model systems and second with the formation of precipitates containing bile acids in health and disease. In vit...

The pathophysiologic events that take place during an acute abdominal crisis include bowel distension, bowel ischemia, and alterations in tissue perfusion. The classic pathological degeneration is initiated early in the disease by changes in the microvascular permeability, endothelial cell changes, neuron response, and neutrophil activation. Reperfusion injury occurs as part of the disease proc...