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Giant enterolith in ileal diverticulum following ileoplastic bladder augmentation
Authors:Boris Kirshtein  Zvi Howard Perry  Joseph Klein  Lie Laufer  Netta Sion-Vardi
Institution:1. Department of Surgery “A”, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel;2. Department of Urology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel;3. Radiology Institute, Department of Radiology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel;4. Pathology Institute, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Abstract:INTRODUCTIONWhen adhesions, internal hernias, malignant intra- and retro-peritoneal neoplasms are excluded in patients presenting with new onset constipation and abdominal mass appearance after previous abdominal surgery, other causes must be considered.PRESENTATION OF CASEGiant enteroliths formed within ileal diverticula in the site of small bowel anastomosis may extrude and produce a palpable abdominal lump. Recent experience with such a patient is the basis of this report.DISCUSSIONIleal diverticula with interior enteroliths may be suspected in patients presenting with an abdominal lump following previous small bowel resection.CONCLUSIONOpen or laparoscopic assisted surgical resection of the involved segment is the treatment of choice.
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