在有在 Roux-en-Y choledochojejunostomy 以后的 jejunocolonic 管 10 年的 jejunal 手足的胆石

• 作者: Lu-Jun Song Sai-Xiong Tong Tao Suo
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: GALLSTONE ROUX-EN-Y CHOLEDOCHOJEJUNOSTOMY Jejunocolonic FISTULA
• 年，卷（期）: 2011,（1）
• 页码范围: 38-40
• 页数: 3页
• 分类号: R657.4

摘要

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.