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Enterolith Formation in the Roux Limb Hepaticojejunostomy |
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| Authors: | W. S. Tan Alexander Y. F. Chung Albert S. C. Low F. K. Cheah S. C. Ong |
| Affiliation: | (1) Department of General Surgery, Singapore General Hospital, Singapore, 169608, Singapore;(2) Department of Diagnostic Radiology, Singapore General Hospital, Singapore, 169608, Singapore;(3) Department of Nuclear Medicine & PET, Singapore General Hospital, Singapore, 169608, Singapore |
| Abstract: | 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. |
| Keywords: | Cholangitis Cholescintigraphy Magnetic resonance imaging Roux-en-Y anastomosis |
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