Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass
| Autor: | Karin Blumofe, Thomas Genuit, David Forcione, Amanda M. Marsh, Ayman Almousa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Gastric bypass surgery business.industry Stomach digestive oral and skin physiology Case Report medicine.disease_cause medicine.disease Roux-en-Y anastomosis digestive system diseases Surgery medicine.anatomical_structure Duodenal bulb Duodenum medicine Perforated ulcer Pharmacology (medical) In patient Differential diagnosis business |
| Zdroj: | Case Reports in Surgery Case Reports in Surgery, Vol 2021 (2021) |
| ISSN: | 2090-6919 2090-6900 |
| Popis: | Perforated ulcers of the excluded stomach or duodenum are exceedingly rare in patients who have undergone Roux-en-Y gastric bypass surgery. The diagnosis of perforated ulcer after Roux-en-Y gastric bypass remains challenging as there is often absence of free air or contrast extravasation from the biliopancreatic limb. We present a patient with signs and symptoms of acute cholecystitis. Laparoscopic cholecystectomy was complicated by postoperative bile leak. EDGE procedure was performed to access the remnant stomach and endoscopic evaluation revealed a perforated ulcer in the posterior duodenal bulb. Although unusual, in patients with bariatric surgery and upper abdominal pain, differential diagnosis including perforated ulcer of the biliopancreatic limb must be considered and early surgical exploration is essential. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text