Abstract
BACKGROUND AND OBJECTIVE: Small bowel obstruction is a common acute abdomen. The disease presentation changes rapidly and differential diagnosis is difficult. If diagnosis and treatment are delayed or inappropriate, the consequences will be serious. METHODS: Here, we report here a rare case of small bowel obstruction caused by enteroliths formed in the duodenal diverticulum. RESULTS: Conservative treatment was not effective. Six days later, the patient underwent emergency exploratory laparotomy to confirm small bowel obstruction, and enterotomy for lithotomy was performed. CONCLUSION: Obstruction of the small intestine due to passage of enteroliths from the duodenal diverticulum is rare. There is currently no definitive evidence delineating the optimal duration for non-surgical treatment. However, it should be noted that the postponement of surgical intervention may elevate mortality rates.