Enterolith: An Unusual Cause of Afferent Loop Obstruction

Yu-Wen Tien; Po-Huang Lee; King-Jen Chang
May 1999
American Journal of Gastroenterology;May1999, Vol. 94 Issue 5, p1391
Academic Journal
Most cases of enterolith have been reported in association with the diverticula of small bowel. We report here a case of a patient in whom a huge enterolith developed in the afferent loop of Billroth II anastomosis with ensuing obturation obstruction. The enterolith was clearly shown on the preoperative abdominal computed tomograph and was removed through a duodenotomy. The postulated mechanism of the enterolith formation ix impaired duodenal evacuatory motor activity due to previous gastrectomy.


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