# Small Bowel Obstruction Caused by Enteroliths Formed in the Duodenal Diverticulum

## TL;DR

A rare case of small bowel obstruction caused by enteroliths in a duodenal diverticulum is reported, highlighting the need for timely surgical intervention.

## Contribution

This paper presents a rare clinical case of small bowel obstruction due to enteroliths from a duodenal diverticulum.

## Key findings

- Enteroliths formed in a duodenal diverticulum caused small bowel obstruction.
- Conservative treatment was ineffective, requiring emergency surgery.
- Delayed surgical intervention may increase mortality in such cases.

## Abstract

Small bowel obstruction is a common acute abdomen. The disease presentation changes rapidly and differential diagnosis is difficult. If diagnosis and treatment are delayed or inappropriate, the consequences will be serious.

Here, we report here a rare case of small bowel obstruction caused by enteroliths formed in the duodenal diverticulum.

Conservative treatment was not effective. Six days later, the patient underwent emergency exploratory laparotomy to confirm small bowel obstruction, and enterotomy for lithotomy was performed.

Obstruction of the small intestine due to passage of enteroliths from the duodenal diverticulum is rare. There is currently no definitive evidence delineating the optimal duration for non‐surgical treatment. However, it should be noted that the postponement of surgical intervention may elevate mortality rates.