Afferent loop syndrome presenting as enterolith after Billroth II subtotal gastrectomy: a case report

被引:19
作者
Carbognin, G [1 ]
Biasiutti, C [1 ]
Ei-Khaldi, M [1 ]
Ceratti, S [1 ]
Procacci, C [1 ]
机构
[1] Univ Verona, Sch Med, Policlin GB Rossi, Dept Radiol, I-37134 Verona, Italy
来源
ABDOMINAL IMAGING | 2000年 / 25卷 / 02期
关键词
Billroth II; complications; US; CT; MRI; afferent loop syndrome; imaging;
D O I
10.1007/s002619910030
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We present a rare late-onset (after 24 years) complication of gastric surgery with a combination of afferent loop syndrome associated with a large duodenal stone. The patient, who had undergone Billroth II partial gastrectomy for benign ulcer 24 years before, developed abdominal pain in the right upper quadrant, associated with nausea, vomiting, and high grade fever. Abnormal laboratory values included elevated liver function test, suggesting a pressure-related phenomenon. Leukocytosis and a high level of platelets were also found. Only computed tomography and endoscopy of the upper gastrointestinal tract confirmed the diagnosis of a huge stone in the dilated duodenal afferent loop. To our knowledge, a case like this has not been reported previously in the literature.
引用
收藏
页码:129 / 131
页数:3
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