Chin Georgiana S M, Heng Robert, Neesham Deborah E, Petersen Rodney W
Department of Obstetrics and Gynaecology, The University of Melbourne, Royal Women's Hospital, Carlton, Victoria, Australia.
Gynecol Oncol. 2002 Dec;87(3):319-22. doi: 10.1006/gyno.2002.6837.
Small intestinal volvulus is a rare complication following Roux-en-Y anastomosis.
A 63-year-old woman was diagnosed with small intestinal volvulus following laparotomy for clear cell carcinoma of the endometrium. Her past medical history included a total gastrectomy and antecolic Roux-en-Y anastomosis for Duke's B gastric carcinoma. Operative findings were of transmesenteric herniation of the ileum through the Roux-en-Y small intestinal mesenteric window, with metastatic deposits fixing the hernia at its base to create a volvulus. The proximal transverse colon was very dilated and thin due to partial obstruction by the volvulus. Her treatment involved adhesiolysis and unraveling of the small intestinal volvulus.
This is the first case report of a small intestinal volvulus following a Roux-en-Y anastomosis involving a metastatic gynacological malignancy.
