Abstract
Enterolith is a rare complication of Billroth II gastrectomy. Most enterolith cases have been reported in association with diverticula, tuberculosis, and Crohn's disease. We report the case of a huge enterolith that developed in the duodenal stump following common bile duct obstruction and cholangitis, necessitating surgery. The enterolith was clearly visible on the abdominal computed tomography. It was removed through a duodenotomy. The surgery was successful without any significant complications.
References
1. Tien YW, Lee PH, Chang KJ. Enterolith: an unusual cause of afferent loop obstruction. Am J Gastroenterol. 1999; 94:1391–1392.
2. Shocket E, Simon SA. Small bowel obstruction due to enterolith (bezoar) formed in a duodenal diverticulum: a case report and review of the literature. Am J Gastroenterol. 1982; 77:621–624.
3. Gadhia U, Raju D, Kapoor R. Large enterolith in a meckels diverticulum causing perforation and bowel obstruction: an interesting case with review of literature. Indian J Surg. 2013; 75(Suppl 1):177–179.
4. Monchal T, Hornez E, Bourgouin S, et al. Enterolith ileus due to jejunal diverticulosis. Am J Surg. 2010; 199:e45–e47.
5. Cartanese C, Campanella G, Milano E, Saccò M. Enterolith causing acute afferent loop syndrome after Billroth II gastrectomy: a case report. G Chir. 2013; 34:164–166.
6. Kim HJ, Moon JH, Choi HJ, et al. Endoscopic removal of an enterolith causing afferent loop syndrome using electrohydraulic lithotripsy. Dig Endosc. 2010; 22:220–222.
7. Tan WS, Chung AY, Low AS, Cheah FK, Ong SC. Enterolith formation in the roux limb hepaticojejunostomy. Dig Dis Sci. 2007; 52:3214–3216.