{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:04Z","timestamp":1756379404016,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,11,17]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Enterolithiasis is the formation of intestinal calculi due to stasis. Tubercular strictures resulting in intestinal stasis provide a favourable environment for enterolith formation. Intestinal tuberculosis occurs commonly in India, but coexistent enterolithiasis has been reported rarely. We are describing three cases of enterolithiasis secondary to tubercular intestinal strictures among female patients in the fourth to fifth decades of life, all of them having pulmonary tuberculosis in the past. All the cases presented with features of subacute intestinal obstruction. X-ray abdomen done for all of them revealed single to multiple round, oval and rectangular, radio-opaque shadows suggestive of stones. Coexistence of enterolithiasis with intestinal tuberculosis may worsen the symptoms of intestinal obstruction and surgery remains the mainstay of treatment. All the patients underwent exploratory laparotomy, resection and anastomosis of the diseased bowel and antitubercular therapy was started. Two patients responded well to the treatment and the third one expired due to cardiac comorbidity.<\/jats:p>","DOI":"10.1136\/bcr-2018-225469","type":"journal-article","created":{"date-parts":[[2018,12,22]],"date-time":"2018-12-22T15:05:35Z","timestamp":1545491135000},"page":"e225469","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Primary enterolithiasis with intestinal tuberculosis: rare presentation of a common disease"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-2317","authenticated-orcid":false,"given":"Brijesh Kumar","family":"Singh","sequence":"first","affiliation":[{"name":"Surgery, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Negi","sequence":"additional","affiliation":[{"name":"Surgery, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kusum","family":"Meena","sequence":"additional","affiliation":[{"name":"Surgery, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nain","family":"Singh","sequence":"additional","affiliation":[{"name":"Surgery, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,22]]},"reference":[{"key":"2025082803434007000_11.1.e225469.1","doi-asserted-by":"crossref","first-page":"17819","DOI":"10.3748\/wjg.v20.i47.17819","article-title":"Enterolithiasis","volume":"20","author":"Gurvits","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025082803434007000_11.1.e225469.2","first-page":"38","article-title":"Abdominal tuberculosis","volume":"64","author":"Rathi","year":"2016","journal-title":"J Assoc Physicians India"},{"key":"2025082803434007000_11.1.e225469.3","first-page":"708","article-title":"Colonic tuberculosis: colonoscopic appearance and clinico-pathologic analysis","volume":"48","author":"Das","year":"2000","journal-title":"J Assoc Physicians India"},{"doi-asserted-by":"publisher","key":"2025082803434007000_11.1.e225469.4","DOI":"10.1055\/s-2005-861116"},{"key":"2025082803434007000_11.1.e225469.5","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/S0009-9260(66)80035-1","article-title":"Enterolithiasis complicating intestinal tuberculosis","volume":"17","author":"Chawla","year":"1966","journal-title":"Clin Radiol"},{"key":"2025082803434007000_11.1.e225469.6","first-page":"56","article-title":"Case study on enterolithiasis presenting with intestinal obstruction","volume":"7","author":"Gopal","year":"2017","journal-title":"IOSR Journal of Dental and Medical Sciences"},{"key":"2025082803434007000_11.1.e225469.7","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1016\/j.cgh.2008.10.026","article-title":"Enterolith: a diagnostic clue for intestinal stricture","volume":"7","author":"Singh","year":"2009","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025082803434007000_11.1.e225469.8","first-page":"662","article-title":"Enterolithiasis associated with ileal perforation in Crohn\u2019s disease","volume":"72","author":"Zeit","year":"1979","journal-title":"Am J Gastroenterol"},{"key":"2025082803434007000_11.1.e225469.9","first-page":"497","article-title":"Lower gastrointestinal bleeding due to ulcerations in a Meckel\u2019s diverticulum and adjacent ileum with enteroliths formation","volume":"58","author":"Haimov","year":"1972","journal-title":"Am J Gastroenterol"},{"key":"2025082803434007000_11.1.e225469.10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/9896856","article-title":"Recurrent enterolithiasis small bowel obstruction: a case seldom described","volume":"2017","author":"Shrestha","year":"2017","journal-title":"Case Rep Gastrointest Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:43:51Z","timestamp":1756377831000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,12,22]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-225469"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225469","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}