Benign duodenojejunal junction stricture: a case report.
| Autor: | Devkota S; Department of General Surgery, Tribhuvan University Teaching Hospital., Adhikari N; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Luitel P; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Paudel S; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Suryabanshi A; Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal., Dev S; Department of General Surgery, Tribhuvan University Teaching Hospital., Bhattarai A; Department of General Surgery, Tribhuvan University Teaching Hospital. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Jun 04; Vol. 86 (7), pp. 4300-4303. Date of Electronic Publication: 2024 Jun 04 (Print Publication: 2024). |
| DOI: | 10.1097/MS9.0000000000002236 |
| Abstrakt: | Introduction: Duodenojejunal stricture is a rare entity that has been attributed to peptic stricture, malignancy, chronic pancreatitis, Crohn's disease and other benign causes. Case Presentation: The authors present a case of a 67-year-old male who presented with upper abdominal pain for 2 weeks, 2 episodes of bilious vomiting, and inability to pass stool and flatus for 1 day. He had a history of chronic upper abdominal pain over the last 40 years and pulmonary tuberculosis 50 years back.Computed tomography (CT) scan of the abdomen and pelvis showed short segment narrowing in the fourth segment of the duodenum with dilated first, second and third segment duodenal loops. Resection and end-to-end duodenojejunal anastomosis was performed and the outcome was normal. Discussion: Benign duodenojejunal can be treated with balloon dilatation, stenting, strictureplasty and resection anastomosis. Treatment should be offered considering efficacy, availability, complications of these modalities and aetiology. Conclusion: Anterograde push enteroscopy and CT scan can aid in preoperative diagnosis of duodenojejunal stricture. Even in older age groups without prior surgical history, benign duodenojejunal stricture can be the cause of intestinal obstruction. Resection and end-to-end duodenojejunal anastomosis can be safe and effective treatment modalities for duodenojejunal junction stricture. Competing Interests: All the authors declare that they have no conflict of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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