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A 53-year-old woman with a 2-year history of intermittent abdominal pain, diarrhea, and constipation presented for evaluation. Her medical history was significant for congenital imperforate anus requiring a colostomy at birth with reanastomosis at the age of 2 years. Radiography (Panel A) and computed tomography (Panel B) of the upper gastrointestinal tract showed filling defects (arrows in both panels) and a small bowel stricture (arrowhead in Panel A). During surgical exploration, it was noted that 20 cm of ileum was inflamed, with two diverticuli containing multiple stones and an associated stricture (Panel C, arrow). This portion of the ileum was . . . [Full Text of this Article] |
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