A Case of Meckel's Diverticulitis with True Enterolith

Yoshihiro Yasuda, Makoto Takagi, Takashi Ogata, Hiroshi Yamada, Yoshiaki Suzuki, Fumiaki Kato, Tetsuo Sumi, Toshiaki Aoki, Akihiko Tsuchida* and Tatsuya Aoki*

Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
Third Department of Surgery, Tokyo Medical University*

The patient was a 33-year-old male who experienced lower abdominal pain and vomiting in the latter part of October 2005. Because the symptoms worsened, he consulted us the next day, and he was admitted as an emergency. Abdominal plain X-rays showed calcifications in the pelvic cavity. Abdominal CT showed a cyctic tumor containing calcifications in contact with the small intestine in the pelvic cavity. Meckel's diverticulitis with calcifications was suspected. ^99mTc scintigraphy showed no ^99mTc accumulation. Because rebound tenderness occurred, an emergency surgery was performed on the day after admission. Meckel's diverticulitis with enteroliths was found, and diverticulectomy was performed. Analysis of the stone revealed calcium oxalate. Enteroliths are classified into true enteroliths and false enteroliths. Most stones encountered clinically are false enteroliths, and true enteroliths have been reported to be very. We encountered a case of Meckel's diverticulitis with true enteroliths. We report the case with a discussion of the literature.

Key words
true enterolith, Meckel's diverticulitis

Reprint requests
Yoshihiro Yasuda Department of Gastroenterological Surgery, Hachiouji Medical Center of Tokyo Medical University
1163 Tatemachi, Hachiouji, 193-0998 JAPAN

Accepted
April 26, 2006

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