Korean J Gastrointest Endosc.  1999 Aug;19(4):643-651.

A Case of Meckel's Enterolith

Affiliations
  • 1Department of Internal Medicine, Chung Goo Sung Sim General Hospital, Seoul, Korea.
  • 2Department of Pathology, Chung Goo Sung Sim General Hospital, Seoul, Korea.

Abstract

The term enterolith refers to concretions formed within the gastrointestinal tract. Enteroliths are thought to result from stasis and are usually found proximal to an area of stricture or within diverticulum. Meckel's diverticulum occurs in 1% to 3% of the population at autopsy and is the most common congenital anomaly of the gastrointestinal tract. Common complications of Meckel's diverticulum include hemorrhage, infection, inflammation, and intussusception. However, enterolith formation in a Meckel's diverticulum, which referred to as Meckel's enterolith, is rare. A 58-year-old female who experienced constipation and low abdominal pain for 20 years, was admitted due to severe low abdominal pain for 3 days. A 3 2 cm sized, lozenge-shaped radiopaque stone with peripheral dense calcification and radiolucent center, located between two areas of stricture in the distal ileum, was observed in abdominal radiograph, abdominal sonogram, small bowel study, and CT scan. Pathologic findings after surgery reveal an enterolith in Meckel's diverticulum without ectopic gastric mucosa. The case of Meckel's enterolith is herein reported.

Keyword

Meckel's diverticulum; Enteroliths

MeSH Terms

Abdominal Pain
Autopsy
Constipation
Constriction, Pathologic
Diverticulum
Female
Gastric Mucosa
Gastrointestinal Tract
Hemorrhage
Humans
Ileum
Inflammation
Intussusception
Meckel Diverticulum
Middle Aged
Tomography, X-Ray Computed
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