✦ LIBER ✦
Plum Stones: An unusual cause of ileostomy obstruction demonstrated by sonography
✍ Scribed by Manish Jain; Paul Pielage; Rex De-Ryke
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 111 KB
- Volume
- 26
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
Bowel obstruction is a common cause of stomal complications of ileostomy. We report a case in which sonography revealed 2 well-defined, rounded, hyperechoic structures, measuring 1.7 cm in diameter and causing dense acoustic shadowing, in the lumen of the bowel of a 3-year-old boy with a permanent end ileostomy. Endoscopy showed the structures to be freely mobile plum stones in the fluidfilled terminal ileum. This case demonstrates the usefulness of sonography in the diagnostic workup of patients with ileostomy obstruction.