case_images: PMC11794444_01
case_images: (A) Initial CT abdomen (transverse view) revealing what was thought to be intussusception but turns out to be primary enterolith with an air filled core. (B) Initial CT abdomen (coronal view) revealing what was thought to be intussusception but turns out to be primary enterolith with an air filled core.
case_images: rjaf037f1.jpg
case_images: PMC11794444_01_rjaf037f1.jpg
case_images: f1
case_images: Computed tomography (CT) of the abdomen with oral contrast revealed an abnormally thickened small intestinal loop with possible intussusception causing low-grade partial obstruction (Fig. 1).
case_images: (A) Repeat CT scan (transverse view) on readmission revealing the same primary enterolith with the core pit that mimics intussusception. (B) Repeat CT scan (coronal view) on readmission revealing the same primary enterolith with the core pit that mimics intussusception.
case_images: rjaf037f2.jpg
case_images: PMC11794444_01_rjaf037f2.jpg
case_images: f2
case_images: A repeat abdominal CT scan showed dilated fluid-filled loops of the small bowel consistent with high-grade small bowel obstruction and focal intussusception of a loop of the small bowel distal to the small bowel anastomosis with associated wall thickening (Fig. 2).
case_images: Round primary enterolith extracted from the second diagnostic laparoscopy. The removal of this stone lead to full resolution of GI symptoms for this patient.
case_images: rjaf037f3.jpg
case_images: PMC11794444_01_rjaf037f3.jpg
case_images: f3
case_images: The stone was round and without any facets (Fig. 3).