VOLUME 34 - NUMBER 5-6 - 2013

Enterolith causing acute afferent loop syndrome after Billroth II gastrectomy: a case report

  • Cartanese C., Campanella G., Milano E., Saccò M.
  • Clinical practice, 164-166
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  • Enterolith is a rare cause of afferent loop obstruction following Billroth II gastrectomy. We report a case of acute afferent loop syndrome (ALS) due to a huge enterolith, necessitating prompt surgery. The clinical pattern may mimic acute cholangitis and/or pancreatitis. Delayed diagnosis may result in severe complications such as bowel ischemia or perforation. Only 14 reported cases of enterolith causing afferent loop obstruction were found in the English literature.

  • KEY WORDS: Acute afferent loop syndrome - Enterolith - Billroth II.