Roux-en-Y enterolith leading to obstruction and ischemic necrosis after pediatric orthotopic liver transplantation.
Publication/Presentation Date
5-1-2018
Abstract
Biliary complications are a common cause of morbidity after liver transplantation, with biliary stone formation being a known occurrence generally upstream of a stricture. A 12-year-old boy, who underwent an orthotopic liver transplantation at 11 months of age for biliary atresia, presented acutely with fever and abdominal pain. Cross-sectional imaging revealed Roux-en-Y limb dilatation and thickening. He was explored and was found to have an ischemic Roux limb secondary to an obstructing enterolith. A segmental bowel resection and revision of his hepaticojejunostomy was performed. While rare, biliary enteroliths may present as either a bowel obstruction or cholangitis and should be considered in the differential diagnosis of a patient following biliary reconstruction. Additionally, anatomic etiologies should be considered and potentially surgically corrected.
Volume
22
Issue
3
First Page
13160
Last Page
13160
ISSN
1399-3046
Published In/Presented At
Quillin, R. C., 3rd, Bongu, A., Kasper, V., Vittorio, J. M., Martinez, M., Lobritto, S. J., Griesemer, A. D., & Guarrera, J. V. (2018). Roux-en-Y enterolith leading to obstruction and ischemic necrosis after pediatric orthotopic liver transplantation. Pediatric transplantation, 22(3), e13160. https://doi.org/10.1111/petr.13160
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29607581
Department(s)
Administration and Leadership
Document Type
Article