{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:29Z","timestamp":1787120729710,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Enterolithiasis\u2014formation of stone concretions within the gastrointestinal tract\u2014is an uncommon and underrecognized cause of intermittent abdominal symptoms and acute bowel obstruction. Primary (true) enteroliths originate within the bowel lumen and are usually associated with focal stasis from anatomic or inflammatory pathology; idiopathic primary enterolithiasis (no identifiable predisposing lesion) is exceptionally rare. We present a case that illustrates diagnosis by contrast\u2010enhanced CT and successful nonoperative management of extensive idiopathic enterolithiasis. A 52\u2010year\u2010old woman presented with a 2\u2010month history of intermittent, crampy lower abdominal pain that increased in frequency over the week before presentation. She had no prior abdominal surgery, no history of inflammatory or ischemic bowel disease, and no systemic symptoms. On examination she was hemodynamically stable with a soft, non\u2010tender abdomen and normal laboratory tests. Contrast\u2010enhanced abdominal CT demonstrated numerous discrete intraluminal calcifications within the large bowel consistent with multiple enteroliths but no bowel dilatation, obstruction, perforation, or underlying stricture\/diverticulum. Given the clinical stability and absence of obstructive complications, she was treated conservatively with bowel rest, intravenous (IV) isotonic fluids, and analgesia. Over the following days, her pain resolved, and she passed multiple firm, stone\u2010like fragments per rectum. Compositional analysis of a retrieved specimen showed a predominance of calcium salts (calcium phosphate and calcium carbonate) with minor magnesium ammonium phosphate and calcium oxalate. She remained asymptomatic at the 2\u2010month outpatient follow\u2010up with no further intervention. In carefully selected, hemodynamically stable patients without evidence of complete obstruction or ischemia, conservative management (bowel rest, IV fluids, close observation) can permit spontaneous passage of even multiple enteroliths and avoid surgery. Contrast\u2010enhanced CT is essential for diagnosis and assessment of complications, and thorough evaluation to exclude underlying causes is recommended to guide follow\u2010up and prevent recurrence.<\/jats:p>","DOI":"10.1002\/ccr3.73134","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T16:20:36Z","timestamp":1783614036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Conservative Management Enabling Spontaneous Passage of an Idiopathic Primary Spontaneous Enterolith: A Case Report and Literature Review"],"prefix":"10.1002","volume":"14","author":[{"given":"Lensa Million","family":"Baharu","sequence":"first","affiliation":[{"name":"Department of Clinical Radiology, Faculty of Medical Sciences, Institute of Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragasa Getachew","family":"Bayisa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medical Sciences, Institute of Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zenebe Teklu","family":"Gebremariam","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medical Sciences, Institute of Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esmael Mohamed","family":"Dawud","sequence":"additional","affiliation":[{"name":"Internist and Pulmonology and Critical Care Fellow, Department of Internal Medicine St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigusu Solomon","family":"Herego","sequence":"additional","affiliation":[{"name":"Department of Surgery Sheikh Khalifa Medical City  Abu Dhabi UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahom Teklu","family":"Maru","sequence":"additional","affiliation":[{"name":"Elitecare Home Health Center  Abu Dhabi UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Webi Alemayehu","family":"Tulu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Mattu Karl Specialised Comprehensive Hospital  Mattu Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmedin Solomon","family":"Kedir","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5943-944X","authenticated-orcid":false,"given":"Tamirat Godebo","family":"Woyimo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medical Sciences, Institute of Health Jimma University  Jimma Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i47.17819"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004720319"},{"issue":"1","key":"e_1_2_17_4_1","first-page":"29","article-title":"Calcific Enterolithiasis","volume":"5","author":"Gupta N. M.","year":"1986","journal-title":"Indian Journal of Gastroenterology"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.11.032"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.107889"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.11.032"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.28743"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262\u2010015\u20101240\u20109"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000035041"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59030573"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.12890\/2021_002266"},{"key":"e_1_2_17_13_1","unstructured":"\u201cGastroenterological Endoscopy \u201dTokyo: Japanese Society of Gastroenterological Endoscopy; (2013) 55(10) https:\/\/www.jstage.jst.go.jp\/browse\/gee\/55\/10\/_contents\/char\/en?utm_source=chatgpt.com."}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73134","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73134","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:33:47Z","timestamp":1787117627000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/ccr3.73134"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73134","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73134"}}