| Autor: |
Masamichi Kinosita, Akiyosi Takeda, Shinya Kusachi, Jiro Nagao, Yoshihiro Jinba |
| Rok vydání: |
1990 |
| Předmět: |
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| Zdroj: |
The journal of the Japanese Practical Surgeon Society. 51:1279-1284 |
| ISSN: |
0386-9776 |
| DOI: |
10.3919/ringe1963.51.1279 |
| Popis: |
cute aflunet loop obstruction is a rather rare complication after gastrectomy (Billroth-II, Roux-Y). It is characterized by acute abdominal pain and high blood level of amylase and may take a serious course if delayed surgical treatment result in the rupture of the affluent loop. It is diangosable by demonstrating a dilated affluent loop by abdominal ultrasonography and CT. We describe here two cases of ruptured affluent loop following acute affluent loop obstruction after Billroth-II, as well as a study of te references with regard to its diagnosis and treatment. Case 1 was a 21-year-old man who spasmodically drank about 2 liters of water to develop the symptom 10 days after gastrectomy (Billroth-II) for perforated duodenal ulcer. Case 2 was a 18-years-old man who developed the symptom after immoderate eating and drinking on the previous day. He had a history of gastrectomy. Efficient diagnosis of te symptom could be yielded from laboratory findings such as leukocytosis and hig blood amylase level, and by measns of imaging procedures of CT and abdominal ultrasonography. Above all, it seems necessary that in the case of acute abdomen after gastrectomy (B-II, Rous-V), we bear the symptom in mind in diagnosing and treating witin a short time. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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