Enterolithiasis

Objective. To study the prevalence, etiopathogenesis, clinical features, diagnosis and treatment of enterolithiasis. Materials and methods. For 26 years, 30 patients (16 men, 14 women) with intestinal calculi were observed. Elderly and senile patients prevailed (18 persons). Six patients had enterolites, 24 coprolites. In general, 41 calculi measuring from 2.5 to 22 cm (31 concrement was 6 cm and larger) were diagnosed in patients. Calculi were most often formed in the sigmoid and rectum. Fibrocolonoscopy, proctosigmoidoscopy, ultrasound, computed tomography were used. Results. It was established that chronic colonic stasis, congenital and acquired intestinal diseases, intake of indigestible and extraneous for the intestine substances (chalk, barium, magnesium and aluminum salts) played a leading role in the formation of intestinal calculi. In 25 patients, calculi caused complications, of which the most severe were perforation of the intestine and acute intestinal obstruction. Conclusions. Improvement of diagnostics and the developed differentiated treatment tactics permitted to improve treatment results better and achieve recovery in all 30 patients.