Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Oct 14, 2006; 12(38): 6229-6231
Published online Oct 14, 2006. doi: 10.3748/wjg.v12.i38.6229
Biliary stone causing afferent loop syndrome and pancreatitis
André Roncon Dias, Roberto Iglesias Lopes
André Roncon Dias, Roberto Iglesias Lopes, Department of General Surgery, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
Correspondence to: André Roncon Dias, Alameda Ministro Rocha Azevedo, 644, apto 11, Cerqueira César, São Paulo 01410-000, Brazil. roncon86@hotmail.com
Telephone: +55-11-30826560
Received: June 30, 2006
Revised: July 8, 2006
Accepted: July 18, 2006
Published online: October 14, 2006
Abstract

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.

Keywords: Afferent loop syndrome, Biliary stone, Acute pancreatitis, Gallstone ileus