An unusual case of small bowel obstruction due to multiple primary enteroliths: a case report

Enteroliths are caused by intestinal stasis or gut hypomotility. It can be primary enteroliths which is produced within the intestine or secondary where stones are migrated from outside gastrointestinal tract like gall stone ileus. A 57-year-old lady presented with complaints of pain in abdomen with constipation. On abdomen X-ray there was 3 large laminated calcified bodies in pelvis. On ultrasound there were gall stones present and hyperechoic bodies present in bowel loops, urinary bladder was empty. On CECT 3 enteroliths present in ileum causing small bowel obstruction. Patient was planned for diagnostic laparoscopy where focal bowel dilatation present at mid ileum. There was no cholecystoenteric fistula present. Laparoscopy cholecystectomy along with laparoscopy assisted extracorporeal resection and anastomosis of involved bowel with removal of 3 enteroliths of size 4×4 cm done. Small enteroliths can pass spontaneously but large and impacted enteroliths needs surgical intervention.