1658 Duodenal Stricture Secondary to Chronic Pancreatitis; A Case Report

Autor:	B Heer
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Internal medicine medicine Duodenal stricture Pancreatitis Surgery business medicine.disease Gastroenterology
Zdroj:	British Journal of Surgery. 108
ISSN:	1365-2168 0007-1323
Popis:	The complications of chronic pancreatitis are well established; however, the incidence of duodenal strictures in the context of previous necrotising pancreas is uncommon. I herein report the case of a 30-year Caucasian woman who presents with reduced oral intake, vomiting and profound cachexia. Medical history of note includes necrotising pancreatitis and umbilical hernia repair. Computed tomography scan revealed multiple cystic collections in the anterior pararenal space. Oesophagogastroduodenoscopy (OGD) revealed a duodenal stricture, which was histologically benign. Endoscopic insertion of a percutaneous jejunostomy (PEJ) unfortunately failed. Upon counselling with the patient, the decision was made to perform a laparotomy with loop gastrojejunostomy and jejunostomy tube insertion. The patient was subsequently able to be fed, initially with the aid of dieticians, and trained for independent care at home. This case highlights the uncommon complication of duodenal stricture in the context of chronic pancreatitis, and the importance of timely diagnosis and management.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2a8da055bf2a91b85e61a9dd286f51ca https://doi.org/10.1093/bjs/znab259.400 Zobrazit plný text záznamu