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Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report

Primary sclerosing cholangitis (PSC) is a progressive, cholestatic liver disease, and liver transplantation (LT) is considered the only therapeutic option for patients with end-stage liver disease secondary to PSC. Intestinal obstruction in adults after LT surgery is a rare complication with diverse...

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Autores principales: Shamaa, Tayseer M, Elsabbagh, Ahmed, Yoshida, Atsushi, Nagai, Shunji, Patton, Joe H, Abouljoud, Marwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968282/
https://www.ncbi.nlm.nih.gov/pubmed/35368381
http://dx.doi.org/10.1093/jscr/rjac090
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author Shamaa, Tayseer M
Elsabbagh, Ahmed
Yoshida, Atsushi
Nagai, Shunji
Patton, Joe H
Abouljoud, Marwan
author_facet Shamaa, Tayseer M
Elsabbagh, Ahmed
Yoshida, Atsushi
Nagai, Shunji
Patton, Joe H
Abouljoud, Marwan
author_sort Shamaa, Tayseer M
collection PubMed
description Primary sclerosing cholangitis (PSC) is a progressive, cholestatic liver disease, and liver transplantation (LT) is considered the only therapeutic option for patients with end-stage liver disease secondary to PSC. Intestinal obstruction in adults after LT surgery is a rare complication with diverse clinical presentations. The most common etiology is intestinal adhesions, but this can also result from other rare causes such as enterolith. We describe the first case report of small bowel obstruction secondary to biliary stone formation in the common limb of Roux-en-Y hepaticojejunostomy 13 years after the deceased donor LT. The patient failed initial conservative management and developed peritonitis, requiring urgent surgical exploration to remove the enterolith and resect the involved small bowel. In conclusion, small bowel obstructions due to enteroliths are unusual clinical complications following LT, which require a high degree of suspicion in patients who develop a bowel obstruction in the setting of a previous hepaticojejunostomy.
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spelling pubmed-89682822022-03-31 Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report Shamaa, Tayseer M Elsabbagh, Ahmed Yoshida, Atsushi Nagai, Shunji Patton, Joe H Abouljoud, Marwan J Surg Case Rep Case Report Primary sclerosing cholangitis (PSC) is a progressive, cholestatic liver disease, and liver transplantation (LT) is considered the only therapeutic option for patients with end-stage liver disease secondary to PSC. Intestinal obstruction in adults after LT surgery is a rare complication with diverse clinical presentations. The most common etiology is intestinal adhesions, but this can also result from other rare causes such as enterolith. We describe the first case report of small bowel obstruction secondary to biliary stone formation in the common limb of Roux-en-Y hepaticojejunostomy 13 years after the deceased donor LT. The patient failed initial conservative management and developed peritonitis, requiring urgent surgical exploration to remove the enterolith and resect the involved small bowel. In conclusion, small bowel obstructions due to enteroliths are unusual clinical complications following LT, which require a high degree of suspicion in patients who develop a bowel obstruction in the setting of a previous hepaticojejunostomy. Oxford University Press 2022-03-30 /pmc/articles/PMC8968282/ /pubmed/35368381 http://dx.doi.org/10.1093/jscr/rjac090 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Shamaa, Tayseer M
Elsabbagh, Ahmed
Yoshida, Atsushi
Nagai, Shunji
Patton, Joe H
Abouljoud, Marwan
Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title_full Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title_fullStr Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title_full_unstemmed Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title_short Small bowel obstruction due to Roux-en-Y enterolith 13 years following deceased donor liver transplantation: a case report
title_sort small bowel obstruction due to roux-en-y enterolith 13 years following deceased donor liver transplantation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968282/
https://www.ncbi.nlm.nih.gov/pubmed/35368381
http://dx.doi.org/10.1093/jscr/rjac090
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