naa a22 4500 510814158 CHVBK 20180411083457.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s12328-013-0414-x doi (NATIONALLICENCE)springer-10.1007/s12328-013-0414-x True enteroliths linked to non-specific multiple ulcers of the small intestine: report of a case [Elektronische Daten] [Hirotsugu Morioka, Yuya Ueda, Tomohiko Nishihira, Tetsuro Ogino, Akihiro Miki, Shinichiro Yoshitani, Yasuhide Ishikawa, Mitsushige Shibatoge, Tetsuro Hirose] This report presents a case of true enteroliths linked to non-specific multiple ulcers of the small intestine (CNSU). A 53-year-old male presented with abdominal pain and vomiting, and was admitted to our hospital under a diagnosis of ileus. He had anemia and hypoalbuminemia. Abdominal computed tomography showed that several radio-opaque bodies were present in the dilated small intestine. Double-balloon enteroscopy revealed an eccentric stricture accompanying a linear open ulcer. Well defined oblique and branching ulcers were continuous with the stricture. At laparotomy, we observed 18 stenoses of the small intestine from 190 cm to 110cm proximal to the ileocecal valve. The stenotic and dilated segments were 1.7±0.4 and 5.4±3.0 (mean±SD) cm in width, respectively. He underwent a resection of the affected small intestine. The macroscopic observation revealed various types of multiple shallow ulcers that were linear or had a tall, triangular configuration, and their alignment was circular or oblique. The ulcers had fused, thus showing a geographic configuration. The microscopic findings showed the maximum depth of the ulcers to be the submucosal layer. The enteroliths were mainly composed of calcium oxalate. As a result, the patient was diagnosed as having true enteroliths linked to CNSU. True enteroliths are a rare complication of CNSU. Springer Japan, 2013 Non-specific multiple ulcers of the small intestine nationallicence True enteroliths nationallicence Small intestinal ulcer nationallicence Double-balloon enteroscopy nationallicence Morioka Hirotsugu Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Ueda Yuya Division of Gastroenterology, Takamatsu Red Cross Hospital, Takamatsu city, Japan aut Nishihira Tomohiko Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Ogino Tetsuro Department of Pathology, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Miki Akihiro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Yoshitani Shinichiro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Ishikawa Yasuhide Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Shibatoge Mitsushige Division of Gastroenterology, Takamatsu Red Cross Hospital, Takamatsu city, Japan aut Hirose Tetsuro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/5(2013-10-01), 368-372 1865-7257 6:5<368 2013 6 12328 https://doi.org/10.1007/s12328-013-0414-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0414-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Morioka Hirotsugu Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Ueda Yuya Division of Gastroenterology, Takamatsu Red Cross Hospital, Takamatsu city, Japan aut NATIONALLICENCE 700 1- Nishihira Tomohiko Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Ogino Tetsuro Department of Pathology, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Miki Akihiro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Yoshitani Shinichiro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Ishikawa Yasuhide Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 700 1- Shibatoge Mitsushige Division of Gastroenterology, Takamatsu Red Cross Hospital, Takamatsu city, Japan aut NATIONALLICENCE 700 1- Hirose Tetsuro Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital, 4-1-3 Banchou, 760-0017, Takamatsu city, Kagawa prefecture, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/5(2013-10-01), 368-372 1865-7257 6:5<368 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer