Perforated Diverticulum in the Afferent Loop with Enteroliths after Distal Gastrectomy Reconstruction by the Billroth-II Method —A Case Report—

DOI Web Site 16 References

Bibliographic Information

Other Title
  • Billroth II再建後に生じた真性腸石による輸入脚憩室穿孔の1例

Search this article

Abstract

<p>A 63-year-old man, who had undergone distal gastrectomy and Billroth-II reconstruction for a gastric ulcer at the age of 16 years, visited our hospital because of sudden abdominal pain 4 hours earlier. Abdominal CT showed extraintestinal free air and stones in the mesentery of the afferent loop and increased density of fat tissue around the stones. Perforation of the afferent loop was diagnosed, and emergency surgery was performed. A 5 cm lange diverticulum of the afferent loop was perforated by four 1 to 2 cm diameter stones. Partial resection of the afferent loop and drainage were performed. On histopathology, a pseudodiverticulum was seen, and stone analysis showed a calcium salt enterolith. The final diagnosis was perforation of a diverticulum in the afferent loop due to a true enterolith.</p>

Journal

References(16)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top