Petrak Alex, McNabb Emily A, Nguyen Benjamin P, Kirkpatrick Vincent E, Cassaro Sebastiano
Department of Surgery, Kaweah Health Medical Center, Visalia, USA.
Cureus. 2024 May 30;16(5):e61388. doi: 10.7759/cureus.61388. eCollection 2024 May.
Blunt abdominal trauma patients who have had prior bariatric procedures may present a diagnostic and therapeutic challenge. The single anastomosis duodenal-ileal bypass with sleeve (SADI-S) is a modified duodenal switch procedure that is relatively uncommon. This case report describes a patient who previously underwent a SADI-S for the management of obesity and subsequently sustained a seat belt injury in a motor vehicle collision resulting in a laceration of the efferent loop. The patient presented with symptoms of acute abdominal pain and was diagnosed through imaging studies. Prompt surgical intervention was performed with resection and primary anastomosis of the damaged section of the jejunum, and repair of a large mesenteric laceration. We discuss the importance of early recognition and intraoperative decision-making in the case of this patient concerning her SADI-S.
曾接受过减肥手术的钝性腹部创伤患者可能会带来诊断和治疗方面的挑战。单吻合口十二指肠-回肠袖状旁路术（SADI-S）是一种改良的十二指肠转位手术，相对不常见。本病例报告描述了一名患者，该患者此前因肥胖接受了SADI-S手术，随后在机动车碰撞中遭受安全带损伤，导致输出袢撕裂。患者出现急性腹痛症状，并通过影像学检查得以确诊。迅速进行了手术干预，切除空肠受损部分并进行一期吻合，同时修复了大面积肠系膜撕裂伤。我们讨论了该患者SADI-S病例中早期识别和术中决策的重要性。
