Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature
Introduction. We describe a case of gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer. Case Description. A 54-year-old female with past surgical history of gastric bypass for morbid obesity and recent diagnosis of unresectable pancreatic cancer...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/170901 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832565098344873984 |
|---|---|
| author | Omar Bellorin Anna Kundel Alexander Ramirez-Valderrama Armando Castro |
| author_facet | Omar Bellorin Anna Kundel Alexander Ramirez-Valderrama Armando Castro |
| author_sort | Omar Bellorin |
| collection | DOAJ |
| description | Introduction. We describe a case of gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer. Case Description. A 54-year-old female with past surgical history of gastric bypass for morbid obesity and recent diagnosis of unresectable pancreatic cancer presents with abdominal pain, peritonitis, and sepsis. Computerized axial tomography scan shows large amount of intraperitoneal free air. The gastric remnant is markedly distended and a large pancreatic head mass is seen. Intraoperative findings were consistent with a perforated ulcer located at the gastrojejunal anastomosis and a distended gastric remnant caused by a pancreatic mass invading and obstructing the second portion of the duodenum. The gastrojejunal perforation was repaired using an omental patch. A gastrostomy for decompression of the remnant was also performed. The patient had a satisfactory postoperative period and was discharged on day 7. Discussion. Perforation of the gastrojejunal anastomosis after Roux-en-Y gastric bypass is an unusual complication. There is no correlation between the perforation and the presence of pancreatic cancer. They represent two different conditions that coexisted. The presence of a gastrojejunal perforation made the surgeon aware of the advanced stage of the pancreatic cancer. |
| format | Article |
| id | doaj-art-51b5dcd19e634edf877497d425904320 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-51b5dcd19e634edf877497d4259043202025-02-03T01:09:25ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/170901170901Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the LiteratureOmar Bellorin0Anna Kundel1Alexander Ramirez-Valderrama2Armando Castro3Department of General Surgery, New York Hospital Medical Center of Queens/Weill Cornell Medical College, 5645 Main Street, Flushing, NY 11355, USADepartment of Endocrine Surgery, New York University Langone Medical Center, 550 First Avenue, New York, NY 10016, USADepartment of General Surgery, New York Hospital Medical Center of Queens/Weill Cornell Medical College, 5645 Main Street, Flushing, NY 11355, USADepartment of General Surgery, New York Hospital Medical Center of Queens/Weill Cornell Medical College, 5645 Main Street, Flushing, NY 11355, USAIntroduction. We describe a case of gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer. Case Description. A 54-year-old female with past surgical history of gastric bypass for morbid obesity and recent diagnosis of unresectable pancreatic cancer presents with abdominal pain, peritonitis, and sepsis. Computerized axial tomography scan shows large amount of intraperitoneal free air. The gastric remnant is markedly distended and a large pancreatic head mass is seen. Intraoperative findings were consistent with a perforated ulcer located at the gastrojejunal anastomosis and a distended gastric remnant caused by a pancreatic mass invading and obstructing the second portion of the duodenum. The gastrojejunal perforation was repaired using an omental patch. A gastrostomy for decompression of the remnant was also performed. The patient had a satisfactory postoperative period and was discharged on day 7. Discussion. Perforation of the gastrojejunal anastomosis after Roux-en-Y gastric bypass is an unusual complication. There is no correlation between the perforation and the presence of pancreatic cancer. They represent two different conditions that coexisted. The presence of a gastrojejunal perforation made the surgeon aware of the advanced stage of the pancreatic cancer.http://dx.doi.org/10.1155/2015/170901 |
| spellingShingle | Omar Bellorin Anna Kundel Alexander Ramirez-Valderrama Armando Castro Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature Case Reports in Surgery |
| title | Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature |
| title_full | Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature |
| title_fullStr | Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature |
| title_full_unstemmed | Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature |
| title_short | Gastrojejunal Anastomosis Perforation after Gastric Bypass on a Patient with Underlying Pancreatic Cancer: A Case Report and Review of the Literature |
| title_sort | gastrojejunal anastomosis perforation after gastric bypass on a patient with underlying pancreatic cancer a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2015/170901 |
| work_keys_str_mv | AT omarbellorin gastrojejunalanastomosisperforationaftergastricbypassonapatientwithunderlyingpancreaticcanceracasereportandreviewoftheliterature AT annakundel gastrojejunalanastomosisperforationaftergastricbypassonapatientwithunderlyingpancreaticcanceracasereportandreviewoftheliterature AT alexanderramirezvalderrama gastrojejunalanastomosisperforationaftergastricbypassonapatientwithunderlyingpancreaticcanceracasereportandreviewoftheliterature AT armandocastro gastrojejunalanastomosisperforationaftergastricbypassonapatientwithunderlyingpancreaticcanceracasereportandreviewoftheliterature |