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胃空肠吻合口穿孔性溃疡:胰十二指肠切除术的一种罕见并发症(病例报告)

Perforated ulcer at the gastrojejunal anastomosis: a rare complication of pancreaticoduodenectomy (case report).

作者信息

El Hammouti Mohamed, Majdoubi Amine, El Achchi Anass, Bouhout Tariq, Serji Badr

机构信息

Surgical Oncology Department, Regional Oncology Center, Mohammed VI University Hospital, Oujda, Morocco.

Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda, Morocco.

出版信息

Pan Afr Med J. 2024 May 31;48:38. doi: 10.11604/pamj.2024.48.38.43787. eCollection 2024.

Abstract

Pancreaticoduodenectomy (PD) is recognized as one of the most intricate abdominal surgical procedures, often accompanied by high morbidity rates. The occurrence of an anastomotic ulcer at the gastrojejunal anastomosis post-pancreaticoduodenectomy surgery is a relatively uncommon complication, albeit potentially leading to severe, life-threatening consequences. The predominant symptomatology manifests as acute abdominal pain accompanied by peritonitis. Conventionally, diagnosis is achieved through computed tomography (CT) scans, facilitating subsequent management, and surgical management is recommended in the majority of instances. Herein, we present a rare case of a patient who experienced ulcer perforation at the gastrojejunal anastomosis site after undergoing pancreaticoduodenectomy with stomach preservation, and we reviewed the available literature to gain more comprehension of this rare complication of this type of surgical intervention.

摘要

胰十二指肠切除术(PD)被认为是最复杂的腹部外科手术之一,常伴随着较高的发病率。胰十二指肠切除术后胃空肠吻合口出现吻合口溃疡是一种相对罕见的并发症,尽管可能导致严重的、危及生命的后果。主要症状表现为伴有腹膜炎的急性腹痛。传统上,通过计算机断层扫描(CT)进行诊断,以利于后续治疗,大多数情况下建议进行手术治疗。在此,我们报告一例罕见病例,该患者在保留胃的胰十二指肠切除术后,胃空肠吻合口处发生溃疡穿孔,并且我们回顾了现有文献,以更深入了解这类手术干预的这种罕见并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be25/11399451/9880e9716d24/PAMJ-48-38-g001.jpg

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