Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2011  |  Volume : 17  |  Issue : 6  |  Page : 418-420

Enterolith with enterocolic fistula: The diagnostic approach


1 Department of Surgery, Goa Medical College, Goa, India
2 Department of Radiology, Goa Medical College, Goa, India

Correspondence Address:
Reshama S Salelkar
Qtr. No. 6, Type 5 GMC Qtrs., Opp. SBI Bambolim Branch, GMC Staff Qtrs., Bambolim, Goa 403 202
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.87186

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An enterolith is a mixed concretion formed in GIT, usually rare in humans. Primary enteroliths are formed in small bowel, typically within a diverticulum and secondary enteroliths in gallbladder. This case report highlights the presence of an enterocolic fistula; probably a postradiotherapy complication; and an enterolith without associated small bowel or colonic diverticuli. We have discussed the various diagnostic modalities used to reach a preoperative diagnosis of this rare condition. Imaging plays an important role in the detection and management of acquired gastrointestinal fistulas. The more routine use of cross-sectional imaging (especially computed tomography and magnetic resonance imaging) has altered the standard sequence of radiologic evaluation for possible fistulas, but fluoroscopic studies remain a valuable complement, especially for confirming and defining the anomalous communications.


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