{
  "abstract": "Enterolithiasis is an uncommon condition that can present with nonspecific symptoms and pose a diagnostic challenge when concomitant cholelithiasis suggests gallstone ileus. We report the case of a 58-year-old woman who presented with abdominal pain, vomiting, and obstipation, with computed tomography findings initially suggestive of gallstone ileus. Exploratory laparotomy revealed no small-bowel obstruction or obstructing calculus. Instead, multiple calculi were identified within the appendix, and additional calculi were found impacted within diverticula throughout the colon, consistent with multifocal enterolithiasis. Appendectomy was performed, and the diverticular calculi were reduced into the intestinal lumen. Cholecystectomy was deferred because the biliary anatomy could not be safely identified. Histopathological examination demonstrated acute fibrinopurulent appendicitis and periappendicitis despite the absence of evident macroscopic inflammation. This case illustrates an unusual multifocal distribution of enteroliths involving the appendix and multiple colonic diverticula in a patient with concomitant cholelithiasis. It underscores the importance of integrating radiological findings with systematic intraoperative exploration when differentiating enterolithiasis from gallstone ileus.",
  "abstract_shown": true,
  "affiliations": [
    "Surgery, Hospital General Presidente Lázaro Cárdenas del Rio Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Chihuahua, MEX",
    "General Surgery, Autonomous University of Chihuahua, Chihuahua, MEX",
    "Surgery, Autonomous University of Chihuahua, Chihuahua, MEX",
    "Research, NeuroteamCUU (Chihuahua), Chihuahua, MEX",
    "Surgery, Hospital General Presidente Lázaro Cárdenas del Rio, Chihuahua, MEX",
    "Surgery, Institute for Social Security and Services for State Workers, Chihuahua, MEX",
    "General Surgery, Hospital Regional Valentín Gómez Farías, Zapopan, MEX",
    "General Medicine, Autonomous University of Chihuahua, Chihuahua, MEX",
    "Medicine, Autonomous University of Chihuahua, Chihuahua, MEX",
    "Internal Medicine, Hospital General Dr. Salvador Zubirán Anchondo, Chihuahua, MEX",
    "Pediatric Medicine, Hospital Infantil de Especialidades de Chihuahua, Chihuahua, MEX",
    "Thoracic Surgery, Hospital Civil de Guadalajara, Guadalajara, MEX",
    "Surgery, Hospital Civil de Culiacán, Culiacán, MEX",
    "General Surgery, Hospital General Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Zacetecas, MEX",
    "General Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Monterrey, MEX"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 21,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mauro A Cardenas"
    },
    {
      "affs": [
        0
      ],
      "name": "Violeta G Beltran Nuñez"
    },
    {
      "affs": [
        0
      ],
      "name": "Roberto G Guzman Armendariz"
    },
    {
      "affs": [
        0
      ],
      "name": "Angel Portilla"
    },
    {
      "affs": [
        1
      ],
      "name": "Akemy H Tsuyi Loya"
    },
    {
      "affs": [
        0
      ],
      "name": "Katia Ramírez Martínez"
    },
    {
      "affs": [
        0
      ],
      "name": "Luis F Ochoa"
    },
    {
      "affs": [
        2
      ],
      "name": "Valeria Muñoz Salas"
    },
    {
      "affs": [
        3
      ],
      "name": "Jesus A Jacquez Graff"
    },
    {
      "affs": [
        4
      ],
      "name": "Luis D Chavarria Muñoz"
    },
    {
      "affs": [
        5
      ],
      "name": "Melisa Licon Meza"
    },
    {
      "affs": [
        4
      ],
      "name": "Luisa F Peña Martinez"
    },
    {
      "affs": [
        6
      ],
      "name": "Sergio Miguel Suárez Fuentes"
    },
    {
      "affs": [
        7
      ],
      "name": "Jazmin Sáenz López"
    },
    {
      "affs": [
        8
      ],
      "name": "Paola I Cárdenas Rosales"
    },
    {
      "affs": [
        9
      ],
      "name": "Luis A Muñoz Sanchez"
    },
    {
      "affs": [
        10
      ],
      "name": "Diana I Escalante Zamora"
    },
    {
      "affs": [
        11
      ],
      "name": "Bruno A Guggiari"
    },
    {
      "affs": [
        12
      ],
      "name": "Jose A Ojeda Valenzuela"
    },
    {
      "affs": [
        13
      ],
      "name": "Mario Hernandez Mancillas"
    },
    {
      "affs": [
        14
      ],
      "name": "Martín Rodríguez-Garza"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6pwkdst8r4h97.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116948",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13696878/",
  "id": "6pwkdst8r4h97",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://doi.org/10.7759/cureus.116948",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Gastroenterology"
    ],
    [
      "heading",
      "General Surgery"
    ],
    [
      "heading",
      "Pathology"
    ],
    [
      "openalex",
      "2711|Appendicitis Diagnosis and Management"
    ]
  ],
  "openalex": "W7214494412",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13696878/pdf/?tool=EBI",
  "pmcid": "PMC13696878",
  "pmid": "42936134",
  "published": "2026-09-25",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/6pwkdst8r4h97.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:09Z",
      "native_id": "PMC13696878",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.116948"
    },
    {
      "first_seen": "2026-10-30T12:21:25Z",
      "native_id": "PMC:PMC13696878",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13696878"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2711|Appendicitis Diagnosis and Management",
      "subfield": "general"
    }
  ],
  "title": "Multifocal Enterolithiasis Associated With Appendicitis and Colonic Diverticulosis Mimicking Gallstone Ileus: A Case Report",
  "title_text": "Multifocal Enterolithiasis Associated With Appendicitis and Colonic Diverticulosis Mimicking Gallstone Ileus: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:34:08Z",
  "url": "https://research.draconitic.com/paper/6pwkdst8r4h97",
  "venue": "Cureus",
  "versions": []
}