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Bilioenteric bypass stricture type II with hepatolithiasis: A case report
Warsinggih1, Amir Fajar1, Ibrahim Labeda1
1Division of Digestive Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Annals of Medicine and Surgery (2012)
|September 21, 2020
Summary
Secondary hepatolithiasis, a complication of bilioenteric bypass, was successfully treated with Roux-en-Y hepaticojejunostomy and stenting. This surgical reconstruction offers a promising alternative for managing biliary anastomosis strictures.
Area of Science:
- Hepatobiliary Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Secondary hepatolithiasis is a complication of bilioenteric stenosis or biliary anastomosis stenosis.
- Its incidence is rising with increased rates of hepatobiliary surgery.
- This report details the first documented case of secondary hepatolithiasis.
Observation:
- A 57-year-old female presented with progressive jaundice due to a stricture of bilioenteric anastomosis (Type II) following a Roux-en-Y hepaticojejunostomy.
- Investigations revealed bilateral hepatic duct dilatation and multiple stones.
- A laparotomy confirmed total occlusion of the common hepatic duct.
Findings:
- Surgical reconstruction involving Roux-en-Y hepaticojejunostomy with stenting was performed.
- Multiple stones were removed from the dilated hepatic ducts.
- The patient remained disease-free during the follow-up period.
Implications:
- Surgical reconstruction of bilioenteric anastomosis strictures is effective.
- Roux-en-Y hepaticojejunostomy with stenting provides a successful treatment option.
- This approach offers a viable alternative to further surgical interventions for secondary hepatolithiasis.
