Roux limb volvulus and perforation as a rare complication of Roux-en-Y hepaticojejunostomy

Roux-en-Y hepaticojejunostomy (RYHJ) is a versatile surgical procedure for various hepatobiliary disorders with success rate as high as 90 %. Complications such as cholangitis, biliary calculi, pancreatitis, liver failure, reflux induced peptic ulcer disease have been described in the literature. We describe a rare complication of RYHJ which we recently encountered which to our knowledge has not been reported previously.