Acute Small Bowel Obstruction due to Intra-Abdominal Lithopedion
- *Corresponding Author:
- Dr. Francis Moïse DOSSOU
Clinique universitaire de chirurgie viscérale B
Centre national hospitalier et universitaire Hubert Koutoukou Maga de Cotonou
06 BP 939 Cotonou Benin
Tel : 00 (229) 95 06 22 85
E-mail: [email protected]
Received date: January 23, 2012; Accepted date: February 07, 2012; Published date: February 09, 2012
Citation: Allodé SA, Mensah E, Dossou FM (2012) Acute Small Bowel Obstruction due to Intra-Abdominal Lithopedion. Surgery 2:107. doi:10.4172/2161-1076.1000107
Copyright: © 2012 Allodé SA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A case report of a 32-year old woman who had 2 years ago a miscarriage pregnancy at 5 months of gestation and was admitted urgently for abdominal pain lasting for 72 hours. Pain was accompanied by nausea, vomiting, absence of stools and gas for 48 hours. The abdomen was distended. Acute intestinal obstruction was diagnosed. Straight radiograph confirmed the obstruction and located it on the small bowel. At laparotomy, there was an agglutination of small bowel loops around l lithopedion, cause of the acute bowel obstruction. The loops were dilated and there was a local ischemia due to a mesenteric torsion around the lithopedion. The lithopedion was released and an ileal resection with immediate anastomosis was performed. The postoperative course was uneventful and the patient was discharged from hospital on the 10th postoperative day.