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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...

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Autores principales: Brinkman, David Jan, Van Hilst, Jony, Luyer, Misha D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
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.
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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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