Plum Stones: An unusual cause of ileostomy obstruction demonstrated by sonography

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 e...

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Bibliographic Details
Published in:Journal of clinical ultrasound 1998-10, Vol.26 (8), p.416-417
Main Authors: Jain, Manish, Pielage, Paul, De-Ryke, Rex
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child, Preschool
Digestive system. Abdomen
Foreign Bodies - diagnostic imaging
Foreign Bodies - surgery
foreign body
Fruit
Humans
Ileostomy
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
obstruction
plum stones
Ultrasonic investigative techniques
Ultrasonography
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Description
Summary: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 fluid‐filled terminal ileum. This case demonstrates the usefulness of sonography in the diagnostic workup of patients with ileostomy obstruction. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:416–417, 1998.
ISSN:0091-2751
1097-0096
DOI:10.1002/(SICI)1097-0096(199810)26:8<416::AID-JCU9>3.0.CO;2-L