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

Research output: Contribution to journalArticle

13 Citations (Scopus)

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
Publication statusPublished - 2000

Fingerprint

Cholecystectomy
Gastrectomy
Extremities
Cholesterol
Roux-en-Y Anastomosis
Gallstones
Radionuclide Imaging
Tomography

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy and 20 years after a cholecystectomy : Report of a case. / Wada, Norihito; Seki, Minako; Saikawa, Yoshiro; Satoh, Michio; Toizumi, Atsushi; Tamura, Yoichiro; Kageyama, Takahisa; Otani, Yoshihide; Kubota, Tetsuro; Kumai, Koichiro; Kitajima, Masaki.

In: Surgery Today, Vol. 30, No. 2, 2000, p. 181-184.

Research output: Contribution to journalArticle

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, vol. 30, no. 2, pp. 181-184.
Wada, Norihito ; Seki, Minako ; Saikawa, Yoshiro ; Satoh, Michio ; Toizumi, Atsushi ; Tamura, Yoichiro ; Kageyama, Takahisa ; Otani, Yoshihide ; Kubota, Tetsuro ; Kumai, Koichiro ; Kitajima, Masaki. / Jejunal limb obstruction caused by a cholesterol stone 15 years after a total gastrectomy and 20 years after a cholecystectomy : Report of a case. In: Surgery Today. 2000 ; Vol. 30, No. 2. pp. 181-184.
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