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Enterolith in Roux limb causing extrahepatic biliary obstruction in a patient with a hepaticojejunostomy: case report and relevant literature review
  1. Vipan Kumar1,
  2. Venu Bhargava Mulpuri1,
  3. Pankaj Gupta2 and
  4. Vikas Gupta1
  1. 1Department of Surgical Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Vikas Gupta; vikaspgi{at}


Enterolith in the Roux limb of hepaticojejunostomy causing jaundice is a rare occurrence. A 40-year-old woman had an extrahepatic biliary obstruction and cholangitis 13 years after the Roux-en-Y repair of postcholecystectomy benign biliary stricture. On evaluation, an enterolith was obstructing the Roux limb, which was successfully managed surgically.

  • gastrointestinal surgery
  • general surgery

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  • Contributors Data were collected and the manuscript was written by VK. Data were analysed by VB. Contrast-enhanced CT images were collected and figure legends were corrected by PG. The manuscript was corrected by VG.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.