Anales de Medicina Interna
versión impresa ISSN 0212-7199
ORTS, J. A. et al. Multiple enterolithiasis, coexisting with bladder and gall bladder lithiasis, associated with colon adenocarcinoma. An. Med. Interna (Madrid) [online]. 2005, vol.22, n.5, pp.227-230. ISSN 0212-7199.
Enteroliths are calculi primarily formed in the intestine. Enterolithiasis is a rare condition frequently associated with intestinal stasis. Usually it causes no symptoms in most cases, but it can be an important diagnostic clue in patients presenting intestinal occlusive symptoms. We report a case of multiple enterolithiasis, very infrequent pathology, coexisting with bladder and gall bladder lithiasis in a patient with colon adenocarcinoma. Diagnosis was made by X-rays and CT images. Calculi were analysed by several methods: chemical, infrared spectroscopy, stereoscopic microscopy and atomic emission spectroscopy; they showed that caluli are made up of organic material and whilokita (calcium and magnesium ortophosphate). No risk factors for lithogenesis were found in this patient excluding the intestinal stasis caused by intestinal narrowing as a result of adenocarcinoma. Genetic factors are suggested as main contributors to hyperlithogenesis observed in this patient. The physiopathological conditions were studied in depth and literature about this subject reviewed.
Palabras clave : Enterolithiasis; Intestinal calculi; Intestinal obstruction.