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Case Reports
. 2019 Jul 18;6(7):e00123.
doi: 10.14309/crj.0000000000000123. eCollection 2019 Jul.

Afferent Loop Syndrome Due to Volvulus of the Afferent Limb

Aditi Desai  1 , Amar Manvar  2 , Sammy Ho  2
Affiliations
Case Reports

Afferent Loop Syndrome Due to Volvulus of the Afferent Limb

Aditi Desai et al. ACG Case Rep J. .

Abstract

A 78-year-old woman with a history of stage IIB gastric adenocarcinoma with previous Billroth II subtotal gastrectomy was admitted with pancreatitis, with subsequent development of fevers and acute jaundice. Transabdominal ultrasound demonstrated bile duct obstruction. An endoscopic retrograde cholangiopancreatography was attempted, but the lumen of the afferent limb appeared distorted without an obstructing lesion. A computed tomography scan demonstrated volvulus of the afferent limb near the gastrojejunal anastomosis, with afferent limb dilation and significant biliary dilation.

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Figures

Figure 1.
Figure 1.
Upper gastrointestinal endoscopy showing (A) the afferent limb and (B) evidence of the Billroth II surgery.
Figure 2.
Figure 2.
(A) Coronal and (B) transverse sections of the computed tomography scan showing volvulus of the afferent limb (circle and arrow).
See this image and copyright information in PMC

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