A case of retrograde intussusception at Roux-en-Y anastomosis 10 years after total gastrectomy: review of the literature
| Autor: | Yoshihiro Uchino, Takahisa Shirahama, Yuhei Kitasato, Yoshito Akagi, Kazumitsu Kiyomatsu, Shuko Saku, Ryuta Midorikawa, Hiroyuki Tanaka, Taizan Minami, Koji Okuda |
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| Jazyk: | angličtina |
| Předmět: |
Abdominal pain
medicine.medical_specialty Retrograde intussusception business.industry Anemia medicine.medical_treatment Roux-en-Y anastomosis Case Report Anastomosis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Total gastrectomy 030220 oncology & carcinogenesis Intussusception (medical disorder) medicine Abdomen 030211 gastroenterology & hepatology Gastrectomy medicine.symptom business |
| Zdroj: | Surgical Case Reports |
| ISSN: | 2198-7793 |
| DOI: | 10.1186/s40792-016-0250-6 |
| Popis: | A 63-year-old man, who had undergone total gastrectomy and Roux-en-Y reconstruction for gastric cancer 10 years previously, was admitted to our hospital with complaints of abdominal pain, palpable abdominal tumor, and hematemesis. On admission, the abdominal tenderness was improving and no abdominal tumor was palpable. Mild inflammatory changes and anemia were noted on blood examination. Abdominal computed tomography revealed a tumor with a layered structure in the left abdomen. The patient was diagnosed with intestinal obstruction secondary to intussusception, and surgery was performed. Retrograde intussusception was found at the site of the Y anastomosis. We conducted manual reduction using the Hutchinson procedure. The intestinal color after the reduction was good, and no intestinal resection was required. Postoperative recovery was uneventful, and the patient was discharged 12 days after surgery. Reports of jejunal intussusception after total gastrectomy with Roux-en-Y reconstruction are relatively rare. Here, we report a case of jejunal intussusception after total gastrectomy with Roux-en-Y reconstruction. |
| Databáze: | OpenAIRE |
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