A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid-Reference-Cited by-同舟云学术

A Calcium Enterolith in a Patient with Crohn’s Disease and Its In Vitro Dissolubility in Citric Acid

Published:2017 Issue: Volume:2017 Page:1-6
ISSN:2090-6528
Container-title:Case Reports in Gastrointestinal Medicine
language:en
Short-container-title:Case Reports in Gastrointestinal Medicine

Author:

Iwamuro Masaya¹²^ORCID,Urata Haruo³,Hiraoka Sakiko¹^ORCID,Ohmori Masayasu¹,Kondo Yoshitaka⁴,Kawahara Yoshiro⁵,Okada Hiroyuki¹

Affiliation:

1. Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

2. Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

3. Central Research Laboratory, Okayama University Medical School, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

4. Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

5. Department of Endoscopy, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan

Abstract

The microstructure and dissolubility of a calcified enterolith and enterolith pieces removed from a 26-year-old Japanese woman with Crohn’s disease were analyzed using scanning electron microscopy and energy dispersive X-ray spectroscopy. The enterolith showed a multilayered structure with fatty acid calcium and magnesium phosphate. The amount of calcium, magnesium, and phosphate decreased after they were immersed in a citric acid solution, suggesting a potential contribution of acidic aqueous solution to elute inorganic substances contained in calcified enteroliths. This is the first study to investigate the in vitro dissolubility of calcified enteroliths induced by citric acid solution.

Publisher

Hindawi Limited

Subject

General Engineering

Link

http://downloads.hindawi.com/journals/crigm/2017/2951547.pdf

Reference17 articles.

1. Enterolith ileus due to jejunal diverticulosis

2. Giant enterolith in ileal diverticulum following ileoplastic bladder augmentation

3. Small-bowel obstruction associated with Crohn’s enterolith

4. Intestinal Obstruction due to Meckel's Enterolith

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