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.
KeywordsCholangitis Cholescintigraphy Magnetic resonance imaging Roux-en-Y anastomosis
- 4.Geoulakos G, Taylor W, Smithers BM, Wilkin’s JL (1987) Multiple enteroliths in a chronically obstructed duodenal loop after Roux en Y biliary diversion. Surgery 102:883–885Google Scholar
- 11.Hashimoto N, Kotoura Y, Ohyanag H (2005) Hepatobiliary scintigraphy after biliary reconstruction—Roux Y and RY-DJ. Hepatogastroenterolgy 52:200–202Google Scholar