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Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication

Long-term complications following pancreaticoduodenectomy are rarely reported because of the poor long-term survival of these patients. Marginal ulcers can occur in both the short and long term, and they can become complicated by bleeding or perforation. Marginal ulcer with perforation is a rare inc...

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Autores principales: P, Arunraj, C, Kolandasamy, R, Prabhakaran, Chidambaranathan, Sugumar, O L, Naganath Babu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477553/
https://www.ncbi.nlm.nih.gov/pubmed/36127996
http://dx.doi.org/10.7759/cureus.28050
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author P, Arunraj
C, Kolandasamy
R, Prabhakaran
Chidambaranathan, Sugumar
O L, Naganath Babu
author_facet P, Arunraj
C, Kolandasamy
R, Prabhakaran
Chidambaranathan, Sugumar
O L, Naganath Babu
author_sort P, Arunraj
collection PubMed
description Long-term complications following pancreaticoduodenectomy are rarely reported because of the poor long-term survival of these patients. Marginal ulcers can occur in both the short and long term, and they can become complicated by bleeding or perforation. Marginal ulcer with perforation is a rare incidence and only sparse literature evidence is available. Herein, we report on a patient who underwent pancreaticoduodenectomy 12 years ago for duodenal adenocarcinoma and was diagnosed to have perforation peritonitis. He underwent emergency laparotomy and lavage, and omental patch closure for marginal ulcer perforation at the gastrojejunostomy site. Truncal vagotomy and feeding jejunostomy were also done.
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spelling pubmed-94775532022-09-19 Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication P, Arunraj C, Kolandasamy R, Prabhakaran Chidambaranathan, Sugumar O L, Naganath Babu Cureus Gastroenterology Long-term complications following pancreaticoduodenectomy are rarely reported because of the poor long-term survival of these patients. Marginal ulcers can occur in both the short and long term, and they can become complicated by bleeding or perforation. Marginal ulcer with perforation is a rare incidence and only sparse literature evidence is available. Herein, we report on a patient who underwent pancreaticoduodenectomy 12 years ago for duodenal adenocarcinoma and was diagnosed to have perforation peritonitis. He underwent emergency laparotomy and lavage, and omental patch closure for marginal ulcer perforation at the gastrojejunostomy site. Truncal vagotomy and feeding jejunostomy were also done. Cureus 2022-08-16 /pmc/articles/PMC9477553/ /pubmed/36127996 http://dx.doi.org/10.7759/cureus.28050 Text en Copyright © 2022, P et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
P, Arunraj
C, Kolandasamy
R, Prabhakaran
Chidambaranathan, Sugumar
O L, Naganath Babu
Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title_full Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title_fullStr Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title_full_unstemmed Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title_short Marginal Ulcer Perforation in a Whipple Survivor: A Rare Long-Term Complication
title_sort marginal ulcer perforation in a whipple survivor: a rare long-term complication
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9477553/
https://www.ncbi.nlm.nih.gov/pubmed/36127996
http://dx.doi.org/10.7759/cureus.28050
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