Related Experiment Videos
Enterolith ileus complicating afferent loop syndrome simulating acute pancreatitis
Leopoldo Sarli1, Domenico Iusco, Vincenzo Violi
1Institute of General Surgery, University of Parma, School of Medicine, Parma, Italy. leosarli@ipruniv.cce.unipr.it
International Surgery
|October 31, 2003
Summary
Afferent loop syndrome, a rare complication after Billroth II gastrectomy, can be caused by enterolith formation. This case highlights a huge enterolith leading to intestinal occlusion following a laparoscopic procedure.
Area of Science:
- Gastroenterology
- Surgical Complications
- Digestive System Surgery
Background:
- Afferent loop syndrome post-Billroth II gastrectomy impedes duodenal loop evacuation.
- Enterolith formation within the afferent loop is a rare but serious complication.
Observation:
- A unique case of a patient with a massive enterolith in the afferent loop of a Billroth II anastomosis is reported.
- The enterolith caused complete intestinal occlusion.
Findings:
- The enterolith's presence and migration are hypothesized to be linked to a preceding laparoscopic procedure.
- This suggests a potential iatrogenic cause for enterolith formation or displacement.
Implications:
- This case underscores the potential for rare but severe complications after laparoscopic surgery for Billroth II gastrectomy.
- Awareness of enterolith formation is crucial for diagnosing and managing afferent loop syndrome.