Jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy and 20 years after a cholecystectomy: report of a case.
We present herein the rare case of a 74-year-old woman found to have jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy with Roux-en-Y anastomosis, and 20 years after a cholecystectomy. The patient complained of repeated episodes of upper abdominal distress on three separate occasions over a period of 20 months, and jejunal limb obstruction was diagnosed by abdominal computed tomography scanning and (99m)Tc scintigraphy. Surgery revealed a stone incarcerated in the jejunal limb, where the anastomosis had become slightly stenotic. The removed stone was 3.5 cm in diameter and was subsequently demonstrated to be a cholesterol stone by chemical analysis. This report is thought to be the first to describe jejunal limb obstruction caused by a gallstone incarcerated in the jejunal limb after a total gastrectomy in a patient with a history of cholecystectomy.
Wada
N
N
Department of Surgery, Kasumigaura National Hospital, 2-7-14 Shimo-Takatsu, Tsuchiura-shi, Ibaragi 300-0812, Japan.
Seki
M
M
Saikawa
Y
Y
Satoh
M
M
Toizumi
A
A
Tamura
Y
Y
Kageyama
T
T
Otani
Y
Y
Kubota
T
T
Kumai
K
K
Kitajima
M
M
D000208:Acute Disease; D000343:Afferent Loop Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000368:Aged; D000681:Amylases / Q000097:blood; D000713:Anastomosis, Roux-en-Y; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D002784:Cholesterol; D004766:Enterostomy; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007813:Laparotomy; D010195:Pancreatitis / Q000175:diagnosis / Q000201:enzymology / Q000209:etiology; D013667:Technetium; D014057:Tomography, X-Ray Computed
D013667:Technetium; D002784:Cholesterol; D000681:Amylases