Enterolith: an unusual cause of afferent loop obstruction.
Most cases of enterolith have been reported in association with the diverticula of small bowel. We report here a case of a patient in whom a huge enterolith developed in the afferent loop of Billroth II anastomosis with ensuing obturation obstruction. The enterolith was clearly shown on the preoperative abdominal computed tomograph and was removed through a duodenotomy. The postulated mechanism of the enterolith formation is impaired duodenal evacuatory motor activity due to previous gastrectomy.
Tien
Y W
YW
Department of Surgery, National Taiwan University Hospital, Taipei, Republic of China.
Lee
P H
PH
Chang
K J
KJ
D000343:Afferent Loop Syndrome / Q000209:etiology*; D000368:Aged; D004378:Duodenal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D020347:Lithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male