Bile-acid enteroliths and jejunal diverticulosis

✍ Scribed by P. C. Bewes; G. A. D. Haslewood; R. A. Roxburgh

• Publisher: John Wiley and Sons
• Year: 1966
• Tongue: English
• Weight: 333 KB
• Volume: 53
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800530816

✦ Synopsis

THE combination of small-bowel diverticulosis and enteroliths was first noted by Gordinier and Sampson in 1906. I t remained for more recent methods of analysis to show the remarkable fact that the majority of formed in diverticula of the upper small bowel are composed to a large extent of choleic acids, that is molecular compounds between deoxycholic acid and fatty acids. Many of these enteroliths On examination she was plump and slightly dehydrated. Her temperature was 100" F. (38" C.) and pulse-rate 92 per minute. There was rebound tenderness in the right iliac fossa-maximal over McBurney's point. The prOVisional diagnosis was: acute appendicitis or early obstruc-