PMC6537081_01
Plain abdominal X-ray film showing multiple radiopaque shadows within the
small bowel (left). Axial CT (top right) showing absence of gallstones
(white arrow). Axial CT (bottom right) showing intraluminal ovoid structures
with peripheral calcification and a hypointense center (white arrow) and
(bottom left) adnexal mass (black arrow).
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We further proceeded with plain computed tomography scan to reach to a final diagnosis of multiple enterolithiasis in the small bowel (Figure 1).
(a) Ovarian cyst alongside multiple enteroliths with an average diameter of
1 cm after surgical removal. (b) Intact left corpus luteal cyst. (c) Ovarian
cyst alongside multiple enteroliths with an average diameter of 1 cm after
surgical removal. (d) Dissected enterolith with exposed core showing
white-colored aggregates.
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The size of the enteroliths averaging 1 cm did not allow manual "milking" of the stones into the rectum (Figure 2).