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Titolo:
MECKELS ENTEROLITHS - CLINICAL, RADIOLOGIC, AND PATHOLOGICAL FINDINGS
Autore:
PANTONGRAGBROWN L; LEVINE MS; BUETOW PC; BUCK JL; ELSAYED AM;
Indirizzi:
ARMED FORCES INST PATHOL,DEPT RADIOL PATHOL WASHINGTON DC 20306 ARMED FORCES INST PATHOL,DEPT RADIOL PATHOL WASHINGTON DC 20306 UNIFORMED SERV UNIV HLTH SCI,DEPT RADIOL & NUCL MED BETHESDA MD 20814 HOSP UNIV PENN,DEPT RADIOL PHILADELPHIA PA 19104 ARMED FORCES INST PATHOL,DEPT HEPAT & GASTROINTESTINAL PATHOL WASHINGTON DC 20306
Titolo Testata:
American journal of roentgenology
fascicolo: 6, volume: 167, anno: 1996,
pagine: 1447 - 1450
SICI:
0361-803X(1996)167:6<1447:ME-CRA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIVERTICULUM; COMPLICATIONS; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
L. Pantongragbrown et al., "MECKELS ENTEROLITHS - CLINICAL, RADIOLOGIC, AND PATHOLOGICAL FINDINGS", American journal of roentgenology, 167(6), 1996, pp. 1447-1450

Abstract

OBJECTIVE. The objective of this study was to determine the clinical,radiographic, and pathologic findings of Meckel's enteroliths, a rarecomplication of Meckel's diverticulum. MATERIALS AND METHODS. Of 84 cases of Meckel's diverticulum, eight (10%) were found at surgery to contain enteroliths. Abdominal radiographs and barium studies of these eight patients were reviewed retrospectively. Medical and pathologic records were also reviewed. RESULTS. At the time of diagnosis, the median age of the eight patients with Meckel's enteroliths was 45 years old. Six patients were male, and two were female. All eight patients weresymptomatic, but symptoms were chronic in six patients (75%). Meckel's enteroliths were seen on abdominal radiographs in seven patients (88%). The stones had an average diameter of 3 cm (range, 1-5 cm). Five patients had multiple opaque stones, and two patients had solitary stones (total number of stones, 18). Sixteen of the enteroliths were revealed as peripheral calcified stones with radiolucent centers; two were revealed as laminated stones. One patient had a Meckel's stone ileus due to extrusion of an enterolith into the lumen that subsequently caused small-bower obstruction. Histologically, all Meckel's diverticula with enteroliths contained intestinal mucosa lining without ectopic gastric mucosa. CONCLUSION. Meckel's enteroliths are a rare complication of Meckel's diverticulum. Nevertheless, this entity should be includedin the differential diagnosis of abdominal calcification when a peripheral calcified stone or, less commonly, a laminated stone is detectedin the lower abdomen on radiographs of adults with chronic abdominal pain or gastrointestinal blood loss.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 20:41:12