Jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy and 20 years after a cholecystectomy: Report of a case

Norihito Wada, Minako Seki, Yoshiro Saikawa, Michio Satoh, Atsushi Toizumi, Yoichiro Tamura, Takahisa Kageyama, Yoshihide Otani, Tetsuro Kubota, Koichiro Kumai, Masaki Kitajima

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Abstract

We present herein the rare case of a 74-year-old woman found to have jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy with Roux-en-Y anastomosis, and 20 years after a cholecystectomy. The patient complained of repeated episodes of upper abdominal distress on three separate occasions over a period of 20 months, and jejunal limb obstruction was diagnosed by abdominal computed tomography scanning and 99mTc scintigraphy. Surgery revealed a stone incarcerated in the jejunal limb, where the anastomosis had become slightly stenotic. The removed stone was 3.5cm in diameter and was subsequently demonstrated to be a cholesterol stone by chemical analysis. This report is thought to be the first to describe jejunal limb obstruction caused by a gallstone incarcerated in the jejunal limb after a total gastrectomy in a patient with a history of cholecystectomy.

Original languageEnglish
Pages (from-to)181-184
Number of pages4
JournalSurgery today
Volume30
Issue number2
DOIs
Publication statusPublished - 2000 Jan 1

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Keywords

  • Cholecystectomy
  • Gallstone
  • Jejunal limb obstruction
  • Roux-en-Y reconstruction
  • Total gastrectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Wada, N., Seki, M., Saikawa, Y., Satoh, M., Toizumi, A., Tamura, Y., Kageyama, T., Otani, Y., Kubota, T., Kumai, K., & Kitajima, M. (2000). Jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy and 20 years after a cholecystectomy: Report of a case. Surgery today, 30(2), 181-184. https://doi.org/10.1007/s005950050039