Roux-en-Y choledochojejunostomy is a common biliary reconstruction procedure.The collection of gallstones in the jejunal limb is a rare complication.Here we present a case of a 61-year-old Chinese female who received ...Roux-en-Y choledochojejunostomy is a common biliary reconstruction procedure.The collection of gallstones in the jejunal limb is a rare complication.Here we present a case of a 61-year-old Chinese female who received Roux-en-Y choledochojejunostomy 10 years ago.Diagnosis of recurrent bile duct stones accompanying infection was made before operation.She also had an abdominal mass which was possibly an intussuscepted colon or a huge fecolith.At laparotomy,an oval stone(5 cm in diameter) and 3 smaller multifaceted stones(2 cm in diameter) were found in the jejunal limb.A fistula between this jejunum and colon was also found.Although the typical manifestations of diarrhea were present,the diagnosis of a biliary colonic fistula was missed before operation.Partial colectomy was performed with the fistulous opening repaired.A T-tube was left in the jejunal limb and the mesocolon aperture was enlarged and revised.Her postoperative convalescence was uneventful.We report this case hoping to sharpen our diagnostic acumen.展开更多
文摘Roux-en-Y choledochojejunostomy is a common biliary reconstruction procedure.The collection of gallstones in the jejunal limb is a rare complication.Here we present a case of a 61-year-old Chinese female who received Roux-en-Y choledochojejunostomy 10 years ago.Diagnosis of recurrent bile duct stones accompanying infection was made before operation.She also had an abdominal mass which was possibly an intussuscepted colon or a huge fecolith.At laparotomy,an oval stone(5 cm in diameter) and 3 smaller multifaceted stones(2 cm in diameter) were found in the jejunal limb.A fistula between this jejunum and colon was also found.Although the typical manifestations of diarrhea were present,the diagnosis of a biliary colonic fistula was missed before operation.Partial colectomy was performed with the fistulous opening repaired.A T-tube was left in the jejunal limb and the mesocolon aperture was enlarged and revised.Her postoperative convalescence was uneventful.We report this case hoping to sharpen our diagnostic acumen.
