Enterolith causing afferent loop obstruction: a case report and literature review.
Enterolith formation is a rare cause of afferent limb obstruction following Billroth II gastrectomy and Roux-en-Y hepaticojejunostomy surgery. A case of ascending cholangitis caused by an enterolith incarcerated in the afferent loop of a 15-year-old Roux-en-Y hepaticojejunostomy was emergently decompressed under direct ultrasound guidance prior to surgery. This is the thirteenth reported case of an enterolith causing afferent loop obstruction. A discussion of our management approach and a review of the relevant literature are presented.
Lee
Michael C
MC
Division of Interventional Radiology (M/C 931), University of Illinois Medical Center, Chicago, IL 60612, USA.
Bui
James T
JT
Knuttinen
M-Grace
MG
Gaba
Ron C
RC
Scott Helton
W
W
Owens
Charles A
CA
D000343:Afferent Loop Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D000368:Aged; D003287:Contrast Media; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020347:Lithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
D003287:Contrast Media