Mechanical obstruction of a Roux-Y limb : A rare cause of recurrent jaundice after apparently succesfuul surgery for biliary atresia.
Two cases of mechanical obstruction of the defunctionalized limb of a Roux-en-Y loop of a bilioenteric conduit are reported. Both patients developed recurrent jaundice and acholic stools after apparently successful surgery for biliary atresia, and were initially diagnosed as having ascending cholangitis. However, the symptoms failed to respond to conservative treatment. At surgery, a mechanical obstruction of the Roux-Y limb due to adhesions was found. The jaundice disappeared and the stool color became normal after lysis of the adhesions.
Department of Surgery, Children's Hospital, 10400, Bangkok, Thailand.
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Watanatittan