[MRI of an afferent loop syndrome presenting as obstructive icterus].
The afferent loop syndrome corresponds to an acute or chronic obstruction of the afferent loop following a partial gastrectomy with Billroth II gastro-jejunal anastomosis. We describe the case of a 77-year-old man with history of partial gastrectomy for peptic ulcer disease performed 31 years ago and currently admitted for jaundice and poor general status. MR imaging showed dilatation of biliary and pancreatic ducts and showed a soft tissue mass between the afferent loop and the residual stomach. Endoscopy showed complete obstruction of the afferent loop by a biopsy-proven adenocarcinoma. The patient died of sepsis shortly after endoscopy of septicemia.
Chevallier
P
P
Service d'Imagerie Médicale, Centre Hospitalier Régional et Universitaire de Nice, Hôpital Archet II, 151, route de Saint Antoine de Ginestière, BP 3079, 06202 Nice. pchev@unice.fr
Gueyffier
C
C
Souci
J
J
Oddo
F
F
Diaine
B
B
Padovani
B
B
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis*; D000343:Afferent Loop Syndrome / Q000175:diagnosis* / Q000209:etiology*; D000368:Aged; D001706:Biopsy; D002779:Cholestasis / Q000175:diagnosis* / Q000209:etiology*; D017809:Fatal Outcome; D005743:Gastrectomy / Q000009:adverse effects*; D018530:Gastric Stump; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications* / Q000175:diagnosis*; D007582:Jejunostomy / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010437:Peptic Ulcer / Q000601:surgery; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis*