RESUMO
Enterolith is a rare complication of Billroth II gastrectomy. Most enterolith cases have been reported in association with diverticula, tuberculosis, and Crohn's disease. We report the case of a huge enterolith that developed in the duodenal stump following common bile duct obstruction and cholangitis, necessitating surgery. The enterolith was clearly visible on the abdominal computed tomography. It was removed through a duodenotomy. The surgery was successful without any significant complications.
Assuntos
Colestase/diagnóstico , Duodenopatias/diagnóstico , Abdome/diagnóstico por imagem , Idoso , Colestase/etiologia , Colestase/cirurgia , Duodenopatias/etiologia , Duodenopatias/cirurgia , Feminino , Cálculos Biliares/complicações , Cálculos Biliares/diagnóstico , Gastroenterostomia , Humanos , Tomografia Computadorizada por Raios XRESUMO
Entecavir (Baraclude®) is an oral antiviral drug used for the treatment of HBV. Entecavir is a reverse transcriptase inhibitor which prevents the HBV from multiplying. Most common adverse reactions caused by entecavir are headache, fatigue, dizziness, and nausea. Until now, there has been no report of peripheral neuropathy as a side effect associated with entecavir treatment. Herein, we report a case of peripheral neuropathy which probably occurred after treatment with entecavir in a hepatitis B patient. The possibility of the occurrence of this side effect should be carefully taken into consideration when a patient takes a high dose of entecavir for a long period of time or has risk factors for neuropathy at the time of initiating entecavir therapy.