Blind Pouch Syndrome-Associated Enterolithiasis Successfully Treated with Colonoscopy

Kimitoshi Kubo; Masato Suzuoki; Noriko Kimura; Norishige Maiya; Soichiro Matsuda; Momoko Tsuda; Masanori Ohara; Mototsugu Kato

doi:10.1159/000510333

Blind Pouch Syndrome-Associated Enterolithiasis Successfully Treated with Colonoscopy

Case Rep Gastroenterol. 2020 Oct 27;14(3):527-533. doi: 10.1159/000510333. eCollection 2020 Sep-Dec.

Authors

Kimitoshi Kubo¹, Masato Suzuoki², Noriko Kimura³, Norishige Maiya¹, Soichiro Matsuda¹, Momoko Tsuda¹, Masanori Ohara², Mototsugu Kato¹

Affiliations

¹ Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
² Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
³ Department of Pathology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.

Abstract

Enterolithiasis associated with blind pouch syndrome secondary to functional end-to-end anastomosis is rare, and its endoscopic and radiological features remain poorly described. A 72-year-old woman was admitted to our hospital for abdominal pain and difficulty defecating. Colonoscopy (CS) with Gastrografin revealed a 10 × 8 cm calculus, an anastomotic ulcer, a blind pouch, and an end-to-end anastomosis in the transverse colon. The calculus was successfully crushed and removed with snares and alligator forceps through CS during the ensuing 4-day period. To our knowledge, this is the first report describing the endoscopic and radiological features of blind pouch syndrome-associated enterolithiasis successfully treated with CS.

Keywords: Blind pouch syndrome; Colonoscopy; Enterolithiasis; Functional end-to-end anastomosis.

Publication types

Case Reports