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December 1967

Enterolithiasis Associated With Side-to-Side Intestinal Anastomosis

Author Affiliations

Des Moines, Iowa
From the Department of Surgical Research, Veterans Administration Hospital, Des Moines, Iowa.

Arch Surg. 1967;95(6):898-901. doi:10.1001/archsurg.1967.01330180046008

ENTEROLITHIASIS, or the formation of stones in the small intestine, is seldom encountered in man. Chomel1 in 1710, first recorded a case of duodenal diverticulum with stone formation in an autopsy on a woman. Williams, in 1908, reported a case of enterolithiasis of the small bowel occurring in an 11-year-old boy with a calculus in the lower ileum. Ewards,2 in 1930, reviewed the literature and noted 15 cases of various types of enteroliths causing obstruction in addition to the case he reported of a large stone near the ileocecal valve. De Witt et al3 described seven cases of primary calculi of the small bowel causing intestinal obstruction up to 1943. They also added a case report of a calculus found in the lower ileum in a patient 26 years of age.

According to Frink,4 not more than 25 cases of enteroliths had been reported in the

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