Abstract
Surgical errors in Roux limb reconstruction are not reported widely. A young male who underwent hepaticojejunostomy after biliary injury developed acute obstruction of the proximal jejunum. Barium study revealed the O configuration of alimentary limb—‘O’ sign. At laparotomy, he was found to have the alimentary limb joining on to itself and without any connection with the biliary limb. The O loop complex was resected, and Roux-en-Y construction was refashioned. He made an uneventful recovery and is well at one year follow-up. We have reviewed the literature and propose a classification system for such type of errors. Every effort should be made to prevent this complication.
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Gupta, V., Umapathy, L., Gulati, A. et al. ‘O’ Configuration of Biliary-Enteric Drainage: a Preventable Surgical Error. Indian J Surg 77 (Suppl 1), 156–158 (2015). https://doi.org/10.1007/s12262-015-1219-6
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DOI: https://doi.org/10.1007/s12262-015-1219-6