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Digestive Diseases and Sciences

, Volume 52, Issue 11, pp 3214–3216 | Cite as

Enterolith Formation in the Roux Limb Hepaticojejunostomy

  • W. S. Tan
  • Alexander Y. F. Chung
  • Albert S. C. Low
  • F. K. Cheah
  • S. C. Ong
Original Paper

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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Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • W. S. Tan
    • 1
  • Alexander Y. F. Chung
    • 1
  • Albert S. C. Low
    • 2
  • F. K. Cheah
    • 2
  • S. C. Ong
    • 3
  1. 1.Department of General SurgerySingapore General HospitalSingaporeSingapore
  2. 2.Department of Diagnostic RadiologySingapore General HospitalSingaporeSingapore
  3. 3.Department of Nuclear Medicine & PETSingapore General HospitalSingaporeSingapore

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