69-year-old male patient with a history of partial gastrectomy 30 years ago for peptic gastric ulcus with reconstruction type Bill germroth II who was admitted for a clinical course of eight days consisting of mild abdominal pain in
Abdominal ultrasound showed a distended gallbladder, dilatation of intrahepatic and extrahepatic bile ducts and a large cystic formation of the right colony and walls, occupying the left hypochondrium to the tubular morphology.
CT and MRI confirmed these findings.
Upper gastrointestinal endoscopy revealed thickened gastric stumps in the afferent loop biopsies, which suggested endoscopic folds in cases where they were confirmed after histological study.
The patient underwent surgery, with total gastrectomy and esophageal-jejunal anastomosis.
