A CASE OF DUODENAL DIVERTICULITIS CAUSED BY AN ENTEROLITH AFTER DISTAL GASTRECTOMY AND ROUX-EN-Y RECONSTRUCTION THAT WAS TREATED WITH ENDOSCOPIC LITHOTOMY

Abstract

A 63-year-old male was admitted to our hospital for high fever and stomachache in November 2016. He had undergone distal gastrectomy and Roux-en-Y reconstruction in 2007. He was diagnosed with duodenal diverticulitis caused by an enterolith, and underwent endoscopic lithotomy with a thin colonoscope, PCF-PQ260L. He recovered and was discharged from the hospital on day 17. Five cases of duodenal diverticulitis with enterolith were reported in the Japanese literature, of which only two cases were treated with endoscopic therapy alone. This is the first report of endoscopic therapy for duodenal diverticulitis with Roux-en-Y reconstruction, and indicated that endoscopic therapy is useful for the treatment of duodenal diverticulitis caused by an enterolith.