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Internal herniation following laparoscopic pancreatoduodenectomy
Laparoscopic pancreatoduodenectomy (LPD) is increasingly performed worldwide as an alternative to the open conventional method, with the aim of advancing recovery. Because of its recent introduction, little is known about late surgical complications from this procedure. Here, we describe a case of a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021176/ https://www.ncbi.nlm.nih.gov/pubmed/31996382 http://dx.doi.org/10.1136/bcr-2019-232475 |
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author | Brinkman, David Jan Van Hilst, Jony Luyer, Misha D |
author_facet | Brinkman, David Jan Van Hilst, Jony Luyer, Misha D |
author_sort | Brinkman, David Jan |
collection | PubMed |
description | Laparoscopic pancreatoduodenectomy (LPD) is increasingly performed worldwide as an alternative to the open conventional method, with the aim of advancing recovery. Because of its recent introduction, little is known about late surgical complications from this procedure. Here, we describe a case of a 76-year-old woman who underwent LPD with end-to-side gastrojejunostomy and presented with pain in the right upper quadrant of the abdomen 6 months thereafter. CT showed signs of an internal herniation. Elective diagnostic laparoscopy demonstrated a hernia of the efferent loop in Petersen’s space. The loop was repositioned and Petersen’s space was closed. The patient was discharged on the same day. Apart from a short readmission for nausea and vomiting, which were managed conservatively, the patient recovered without any further complications. Internal herniation should be considered in patients with abdominal complaints following LPD. |
format | Online Article Text |
id | pubmed-7021176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-70211762020-02-28 Internal herniation following laparoscopic pancreatoduodenectomy Brinkman, David Jan Van Hilst, Jony Luyer, Misha D BMJ Case Rep Unusual Association of Diseases/Symptoms Laparoscopic pancreatoduodenectomy (LPD) is increasingly performed worldwide as an alternative to the open conventional method, with the aim of advancing recovery. Because of its recent introduction, little is known about late surgical complications from this procedure. Here, we describe a case of a 76-year-old woman who underwent LPD with end-to-side gastrojejunostomy and presented with pain in the right upper quadrant of the abdomen 6 months thereafter. CT showed signs of an internal herniation. Elective diagnostic laparoscopy demonstrated a hernia of the efferent loop in Petersen’s space. The loop was repositioned and Petersen’s space was closed. The patient was discharged on the same day. Apart from a short readmission for nausea and vomiting, which were managed conservatively, the patient recovered without any further complications. Internal herniation should be considered in patients with abdominal complaints following LPD. BMJ Publishing Group 2020-01-29 /pmc/articles/PMC7021176/ /pubmed/31996382 http://dx.doi.org/10.1136/bcr-2019-232475 Text en © BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Unusual Association of Diseases/Symptoms Brinkman, David Jan Van Hilst, Jony Luyer, Misha D Internal herniation following laparoscopic pancreatoduodenectomy |
title | Internal herniation following laparoscopic pancreatoduodenectomy |
title_full | Internal herniation following laparoscopic pancreatoduodenectomy |
title_fullStr | Internal herniation following laparoscopic pancreatoduodenectomy |
title_full_unstemmed | Internal herniation following laparoscopic pancreatoduodenectomy |
title_short | Internal herniation following laparoscopic pancreatoduodenectomy |
title_sort | internal herniation following laparoscopic pancreatoduodenectomy |
topic | Unusual Association of Diseases/Symptoms |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021176/ https://www.ncbi.nlm.nih.gov/pubmed/31996382 http://dx.doi.org/10.1136/bcr-2019-232475 |
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