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Enterolith Causing Afferent Loop Obstruction: A Case Report and Literature Review

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Abstract

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.

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Authors and Affiliations

  1. Division of Interventional Radiology (M/C 931), University of Illinois Medical Center, 1740 West Taylor Street, Chicago, IL, 60612, USA

    Michael C. Lee, James T. Bui, M-Grace Knuttinen, Ron C. Gaba & Charles A. Owens

  2. Department of Surgery, Hospital of St. Raphael, 175 Sherman Avenue, New Haven, CT, 06511, USA

    W. Scott Helton

Authors
  1. Michael C. Lee
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  2. James T. Bui
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  3. M-Grace Knuttinen
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  4. Ron C. Gaba
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  5. W. Scott Helton
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  6. Charles A. Owens
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Correspondence to Charles A. Owens.

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Lee, M.C., Bui, J.T., Knuttinen, MG. et al. Enterolith Causing Afferent Loop Obstruction: A Case Report and Literature Review. Cardiovasc Intervent Radiol 32, 1091–1096 (2009). https://doi.org/10.1007/s00270-009-9561-3

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  • DOI: https://doi.org/10.1007/s00270-009-9561-3

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