{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:32:50Z","timestamp":1781847170452,"version":"3.54.5"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"780","license":[{"start":{"date-parts":[[1990,10,1]],"date-time":"1990-10-01T00:00:00Z","timestamp":654739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>An enterolith (bezoar) usually originates in an intestinal diverticulum or in a segment of bowel loculated by stricture formation. Stasis promotes its formation. This communication describes a case in which a large enterolith caused obstruction and multiple perforations of the terminal ileum in the absence of any predisposing gastrointestinal pathology. The management of this rare occurrence is discussed and the literature reviewed.<\/jats:p>","DOI":"10.1136\/pgmj.66.780.872","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"872-873","source":"Crossref","is-referenced-by-count":9,"title":["Small bowel obstruction with multiple perforations due to enterolith (bezoar) formed without gastrointestinal pathology"],"prefix":"10.1093","volume":"66","author":[{"given":"A S","family":"Salim","sequence":"first","affiliation":[{"name":"Department of Surgery, The Royal Infirmary , Perth, PH1 1NX, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1990,10,1]]},"reference":[{"issue":"41","key":"ref_1","first-page":"60","article-title":"Perforation and obstruction by enterolith complicating jejunal diverticulosis","volume":"1953","author":"Slater, S.N.","unstructured":"Slater, S.N. Perforation and obstruction by enterolith complicating jejunal diverticulosis. Br J Surg 1953, 41: 60-62.","journal-title":"Br J Surg"},{"issue":"53","key":"ref_2","first-page":"709","article-title":"Bile acid enterolith and jejunal diverticulosis","volume":"1966","author":"Bewes, P.C.; Haslewood, G.A.D.; Roxburgh, R.A.","unstructured":"Bewes, P.C., Haslewood, G.A.D. & Roxburgh, R.A. Bile acid enterolith and jejunal diverticulosis. Br J Surg 1966, 53: 709-711.","journal-title":"Br J Surg"},{"issue":"48","key":"ref_3","first-page":"132","volume":"1960","author":"Walker, W.F.; Kerr, G.; MacDonald, J.S.","unstructured":"Walker, W.F., Kerr, G. & MacDonald, J.S. Enterolith ileus. Br J Surg 1960, 48: 132-145.","journal-title":"Enterolith ileus. Br J Surg"},{"key":"ref_4","first-page":"313","article-title":"Intestinal obstruction due to bezoars","volume":"79","author":"Goldstein, S.S.; Lewis, J.H.; Rothstein, R.","year":"1984","unstructured":"Goldstein, S.S., Lewis, J.H. & Rothstein, R. Intestinal obstruction due to bezoars. Am J Gastroenterol 1984 79: 313-318.","journal-title":"Am J Gastroenterol"},{"key":"ref_5","first-page":"934","article-title":"Bezoars and concretions - a comprehensive review of the literature with analysis of 303 collected cases and a","volume-title":"presentation of 8 additional cases. Surgery 1939","volume":"4","author":"DeBakey, M.; Ochsner, A.","unstructured":"DeBakey, M. & Ochsner, A. Bezoars and concretions - a comprehensive review of the literature with analysis of 303 collected cases and a presentation of 8 additional cases. Surgery 1939, 4: 934-963."},{"key":"ref_6","first-page":"397","article-title":"Ginger and drug bezoars induced small bowel obstruction","volume":"28","author":"Liu, P.H.W.; Ho, H.L.","year":"1983","unstructured":"Liu, P.H.W. & Ho, H.L. Ginger and drug bezoars induced small bowel obstruction. J R Coil Surg Edinb 1983, 28: 397-398.","journal-title":"J R Coil Surg Edinb"},{"key":"ref_7","first-page":"621","article-title":"Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature","volume":"77","author":"Shocket, E.; Simon, S.A.","year":"1982","unstructured":"Shocket, E. & Simon, S.A. Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature. Am J Gastroenterol 1982, 77: 621-624.","journal-title":"Am J Gastroenterol"},{"key":"ref_8","first-page":"627","article-title":"Small bowel obstruction secondary to enzymic digestion of","volume-title":"a gastric bezoar. Gastroenterology 1983, 84","author":"Rumley, T.O.; Hocking, M.P.; King, C.E.","unstructured":"Rumley, T.O., Hocking, M.P. & King, C.E. Small bowel obstruction secondary to enzymic digestion of a gastric bezoar. Gastroenterology 1983, 84: 627-629."},{"issue":"74","key":"ref_9","first-page":"792","volume":"1981","author":"Maull, K.I.; Nicholson, B.W.; Mendez-Picon, G.","unstructured":"Maull, K.I., Nicholson, B.W. & Mendez-Picon, G. Jejunoileal diverticulosis. South Med J 1981, 74: 792-795.","journal-title":"Jejunoileal diverticulosis. South Med J"},{"issue":"4","key":"ref_10","first-page":"269","article-title":"Enterolith obstruction of the small bowel","volume":"1985","author":"King, P.M.; Bird, D.R.; Eremin, O.","unstructured":"King, P.M., Bird, D.R. & Eremin, O. Enterolith obstruction of the small bowel. J R Coil Surg Edinb 1985, 4: 269-270.","journal-title":"J R Coil Surg Edinb"},{"key":"ref_11","first-page":"165","article-title":"Gastric cancer bezoar","volume":"32","author":"Deutsch, A.A.; Gutman, H.; Mor, C.; Reiss, R.","year":"1987","unstructured":"Deutsch, A.A., Gutman, H., Mor, C. & Reiss, R. Gastric cancer bezoar. J R Coil Surg Edinb 1987, 32: 165-166.","journal-title":"J R Coil Surg Edinb"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1016\/S0016-5085(75)80151-X","article-title":"Obturation of the ileum by a jejunal diverticular enterolith","volume":"68","author":"Ottinger, L.W.; Carter, E.L.","year":"1975","unstructured":"Ottinger, L.W. & Carter, E.L. Obturation of the ileum by a jejunal diverticular enterolith. Gastroenterology 1975, 68: 1596-1597.","journal-title":"Gastroenterology"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/780\/872\/50077182\/postgradmedj-66-872.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/66\/780\/872\/50077182\/postgradmedj-66-872.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T16:56:23Z","timestamp":1682614583000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/66\/780\/872\/7062256"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,10,1]]},"references-count":12,"journal-issue":{"issue":"780","published-online":{"date-parts":[[1990,10,1]]},"published-print":{"date-parts":[[1990,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.66.780.872","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1990,10]]},"published":{"date-parts":[[1990,10,1]]}}}