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small bowel obstruction due to jejunal internal herniation

Maurizio Zizzo, Nazareno Smerieri, Italo Barbieri, Andrea Lanaia, Stefano Bonilauri
INTRODUCTION: Internal hernia is a pathological condition resulting from abnormal protrusion of abdominal viscera through an opening in the intraperitoneal recesses of the abdominal cavity. Small bowel obstruction due to internal hernia is not common (0.25-0.9% of cases). The most common group is that of paraduodenal hernias (53%), of which the left-sided one is the most common type (75%). PRESENTATION OF CASE: We report a case of a 43 year-old man with a history of recurrent abdominal pain, who was hospitalized because of an episode of acute small bowel obstruction...
2016: International Journal of Surgery Case Reports
Akira Baba, Shinji Yamazoe, Murat Dogru, Yumi Okuyama, Takuji Mogami, Yuko Kobashi, Yosuke Nozawa, Yutaka Aoyagi, Hiroto Fujisaki, Masaharu Ogura, Junichi Matsui
Petersen hernia is a rare internal hernia that occurs after Roux-en-Y (R-Y) reconstruction. To our knowledge, there are a few reports on internal hernia, especially Petersen hernia after open gastrectomy for gastric cancer. Two rare cases of Petersen hernia are presented in this report. A man in his 70s was referred to our hospital due to a complaint of postprandial sudden abdominal pain. He had a history of open total gastrectomy with R-Y jejunal reconstruction through the antecolic route for gastric corpus cancer...
2015: SpringerPlus
John Spiliotis, Demetrios Karnabatidis, Archodoula Vaxevanidou, Anastasios C Datsis, Athanasios Rogdakis, Georgios Zacharis, Demetrios Siamblis
INTRODUCTION: Patients with resection of stomach and especially with Billroth II reconstruction (gastro jejunal anastomosis), are more likely to develop afferent loop syndrome which is a rare complication. When the afferent part is obstructed, biliary and pancreatic secretions accumulate and cause the distention of this part. In the case of a complete obstruction (rare), there is a high risk developing necrosis and perforation. This complication has been reported once in the literature...
2009: Cases Journal
Masayo Kawakami, Mitsuhiro Mukaiya, Yasutoshi Kimura, Fumitake Hata, Tadashi Katsuramaki, Kazuaki Sasaki, Hideki Ura, Koichi Hirata
A 45-year-old man was suffering from abdominal pain and vomiting. He was admitted to our hospital with a diagnosis of ileus and obstructive jaundice. He had undergone Roux-en-Y anastomosis for choledocholithiasis 14 years earlier. A computed tomography scan revealed a dilated afferent loop and dilated intrahepatic bile duct. Upper gastrointestinal examination with contrast medium and percutaneous transhepatic cholangiography showed a high intestinal obstruction around the jejunojejunal anastomosis. The patient underwent laparotomy based on a diagnosis of obstructive jaundice due to ileus...
July 2002: Hepato-gastroenterology
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