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Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report
INTRODUCTION: Intussusception after gastrectomy is a minor complication after gastrectomy, while common bile duct stone (CBD) is also a rare complication post cholecystectomy. We report a case that simultaneously caused both intussusception and CBD stone following gastrectomy with prophylactic chole...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573784/ https://www.ncbi.nlm.nih.gov/pubmed/28846944 http://dx.doi.org/10.1016/j.ijscr.2017.08.017 |
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author | Miura, Yuichi Uemura, Takuji Sato, Koichiro Abe, Takayuki Akada, Tetsuya Ito, Soichi Yamana, Hiroki Kato, Hirotaka |
author_facet | Miura, Yuichi Uemura, Takuji Sato, Koichiro Abe, Takayuki Akada, Tetsuya Ito, Soichi Yamana, Hiroki Kato, Hirotaka |
author_sort | Miura, Yuichi |
collection | PubMed |
description | INTRODUCTION: Intussusception after gastrectomy is a minor complication after gastrectomy, while common bile duct stone (CBD) is also a rare complication post cholecystectomy. We report a case that simultaneously caused both intussusception and CBD stone following gastrectomy with prophylactic cholecystectomy. CASE PRESENTATION: A 74-year-old woman underwent distal gastrectomy with Roux-en-Y reconstruction and prophylactic cholecystectomy for gastric cancer. After 14 months, the patient reported nausea and vomiting. Abdominal computed tomography scanning showed antegrade intussusception of the Roux limb of the gastrojejunostomy and calculi in the common bile duct, with a diagnosis of jejunogastric intussusception and common bile duct stones. The patient was hospitalized and endoscopic examination was performed on day 3. Endoscopic treatment did not resolve the intussusception, which also obstructed the bile duct stones. Elective surgery was performed on day 10, in which the invaginated Roux limb of the gastrojejunostomy was resected after manual reinstatement to its original position. This was followed by open exploration of the common bile duct and T-tube drainage. The patient was discharged 25 days post- surgery. DISCUSSION: Jejunogastric intussusception and CBD stone may require operative management, although the operation could be elective after sufficient examination and preparation. CONCLUSION: Jejunogastric intussusception and bile duct stones are rare after distal gastrectomy, physicians should be alerted to the possibility of these complications. |
format | Online Article Text |
id | pubmed-5573784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-55737842017-09-06 Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report Miura, Yuichi Uemura, Takuji Sato, Koichiro Abe, Takayuki Akada, Tetsuya Ito, Soichi Yamana, Hiroki Kato, Hirotaka Int J Surg Case Rep Case Report INTRODUCTION: Intussusception after gastrectomy is a minor complication after gastrectomy, while common bile duct stone (CBD) is also a rare complication post cholecystectomy. We report a case that simultaneously caused both intussusception and CBD stone following gastrectomy with prophylactic cholecystectomy. CASE PRESENTATION: A 74-year-old woman underwent distal gastrectomy with Roux-en-Y reconstruction and prophylactic cholecystectomy for gastric cancer. After 14 months, the patient reported nausea and vomiting. Abdominal computed tomography scanning showed antegrade intussusception of the Roux limb of the gastrojejunostomy and calculi in the common bile duct, with a diagnosis of jejunogastric intussusception and common bile duct stones. The patient was hospitalized and endoscopic examination was performed on day 3. Endoscopic treatment did not resolve the intussusception, which also obstructed the bile duct stones. Elective surgery was performed on day 10, in which the invaginated Roux limb of the gastrojejunostomy was resected after manual reinstatement to its original position. This was followed by open exploration of the common bile duct and T-tube drainage. The patient was discharged 25 days post- surgery. DISCUSSION: Jejunogastric intussusception and CBD stone may require operative management, although the operation could be elective after sufficient examination and preparation. CONCLUSION: Jejunogastric intussusception and bile duct stones are rare after distal gastrectomy, physicians should be alerted to the possibility of these complications. Elsevier 2017-08-19 /pmc/articles/PMC5573784/ /pubmed/28846944 http://dx.doi.org/10.1016/j.ijscr.2017.08.017 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Miura, Yuichi Uemura, Takuji Sato, Koichiro Abe, Takayuki Akada, Tetsuya Ito, Soichi Yamana, Hiroki Kato, Hirotaka Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title | Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title_full | Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title_fullStr | Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title_full_unstemmed | Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title_short | Antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: A case report |
title_sort | antegrade jejunogastric intussusception and common bile duct stones at 14 months after gastrectomy and cholecystectomy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573784/ https://www.ncbi.nlm.nih.gov/pubmed/28846944 http://dx.doi.org/10.1016/j.ijscr.2017.08.017 |
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