Enterolith formation in the roux limb hepaticojejunostomy.
Enterolith in the Roux limb of Roux-en-Y hepaticojejunostomy is rare. We report a case of a Roux loop enterolith presenting with recurrent cholangitis. Cholescintigraphy and magnetic resonance imaging aided in the preoperative diagnosis. Intraoperatively, a large enterolith was extracted distal to the biliodigestive anastomosis. A kink of the small bowel was also noted distal to the stone. The mechanism for enterolith formation in the Roux loop is discussed.
Tan
W S
WS
Department of General Surgery, Singapore General Hospital, Singapore 169608, Singapore.
Chung
Alexander Y F
AY
Low
Albert S C
AS
Cheah
F K
FK
Ong
S C
SC
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D002137:Calculi / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007582:Jejunostomy / Q000379:methods*; D007583:Jejunum / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D012086:Reoperation