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Enterolith Formation in the Roux Limb Hepaticojejunostomy

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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.

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Correspondence to Alexander Y. F. Chung.

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Tan, W.S., Chung, A.Y.F., Low, A.S.C. et al. Enterolith Formation in the Roux Limb Hepaticojejunostomy. Dig Dis Sci 52, 3214–3216 (2007).

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