Duodenal intussusception of the remnant stomach after biliopancreatic diversion: a case report.
BMC Surg
; 18(1): 57, 2018 Aug 14.
Article
in En
| MEDLINE
| ID: mdl-30107839
ABSTRACT
BACKGROUND:
We present a rare case of an antegrade intussusception of the remnant stomach four years after a biliopancreatic diversion. CASE PRESENTATION A 55-year-old female patient presented with epigastric pain in our emergency room. Laboratory parameters showed an anemia as well as elevated transaminases and hyperbilirubinemia. The CT scan showed an intussusception of the remnant stomach into the duodenum followed by cholestasis. At laparotomy the remnant stomach was resected.CONCLUSION:
Bowel obstruction and intussusception after bariatric surgery are a rare but often unrecognized complication. Sonography as well as a CT scan should be performed. The exploratory laparoscopy however is the most valuable diagnostic tool in patients with suspected intussusception, due to the high rate of non-specific symptoms and misinterpreted radiographic investigations.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Biliopancreatic Diversion
/
Gastric Stump
/
Intussusception
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
BMC Surg
Year:
2018
Document type:
Article
Affiliation country:
Germany