A Case of Duplication of the Ileum with Enteroliths

Makoto Kubo, Seiji Yunotani, Shinsuke Mukai, Ryuichiroh Samejima, Akiomi ogawa, Kohji Miyazaki

Department of Surgery, Saga Medical School

We report a case of enteroliths in duplication of the ileum. A 35-year-old woman, whose chief complaint was lower abdominal pain, underwent laparotomy under the diagnosis of torsion of a right ovarian dermoid cyst. Operative findings revealed a tumor, about 6×5 cm in diameter, on the anterior wall of the ileum 5 cm proximal from its end and three hard stones were palpated in the tumor. Partial resection of the ileum with the tumor was carried out. Macroscopic and microscopic findings showed duplication of the alimentary tract, which is a rare congenital disorder said to be difficult to diagnose preoperatively because of the wide variety of the abdominal symptoms and the diagnostic imagings. The enteroliths in our case consisted of calcium oxalate. There have been only nine reported cases of calcium oxalate enteroliths thus far in Japan. To the best of our knowledge, this is first case ever reported in Japan of duplication of the alimentary tract with enteroliths.

Key words
duplication of alimentary tract, enterolith, acute abdomen

Reprint requests
Makoto Kubo Department of Surgery, Saga Medical School
5-1-1 Nabeshima, Saga-shi, 849-8501 JAPAN

Accepted
May 19, 1998

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