Biliary Stone Causing Afferent Loop Syndrome and Pancreatitis
Overview
Affiliations
We report the case of an 84-year-old female who had a partial gastrectomy with Billroth-II anastomosis 24 years ago for a benign peptic ulcer who now presented an acute pancreatitis secondary to an afferent loop syndrome. The syndrome was caused by a gallstone that migrated through a cholecystoenteric fistula. This is the first description in the literature of a biliary stone causing afferent loop syndrome.
Acute pancreatitis, a rare complication of afferent loop obstruction: A case report.
Li H, Sun Y, Wang Z, Ji Z, Xu J, Cui F SAGE Open Med Case Rep. 2022; 10:2050313X221078723.
PMID: 35223036 PMC: 8864255. DOI: 10.1177/2050313X221078723.
Key Points for Cholelithiasis and Gallstone Ileus Prevention Following Biliointestinal Bypass.
Micheletto G, Piozzi G, Panizzo V, Reitano E, Tringali D, Pontiroli A Am J Case Rep. 2019; 20:993-997.
PMID: 31326973 PMC: 6621931. DOI: 10.12659/AJCR.916111.
OBrien J, Webb L, Evans L, Speakman C, Shaikh I Case Rep Gastroenterol. 2017; 11(1):95-102.
PMID: 28611560 PMC: 5465712. DOI: 10.1159/000456656.
Gallstone ileus, clinical presentation, diagnostic and treatment approach.
Nuno-Guzman C, Marin-Contreras M, Figueroa-Sanchez M, Corona J World J Gastrointest Surg. 2016; 8(1):65-76.
PMID: 26843914 PMC: 4724589. DOI: 10.4240/wjgs.v8.i1.65.
Acute afferent loop syndrome in the early postoperative period following pancreaticoduodenectomy.
Nageswaran H, Belgaumkar A, Kumar R, Riga A, Menezes N, Worthington T Ann R Coll Surg Engl. 2015; 97(5):349-53.
PMID: 26264085 PMC: 5096581. DOI: 10.1308/003588414X14055925061036.