metricas
covid
Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Biliopancreatic Limb Obstruction Due to Jejuno-jejunal Intussusception in a Pati...
Información de la revista
Vol. 98. Núm. 5.
Páginas 292 (mayo 2020)
Vol. 98. Núm. 5.
Páginas 292 (mayo 2020)
Image of the month
Acceso a texto completo
Biliopancreatic Limb Obstruction Due to Jejuno-jejunal Intussusception in a Patient With Previous Roux-en-Y Gastric Bypass
Oclusión de asa biliopancreática por intususcepción yeyunal en paciente con bypass gástrico previo
Visitas
1209
Pol Guarner, Ainitze Ibarzabal
Autor para correspondencia
aibarza@clinic.cat

Corresponding author.
, Jose M. Balibrea, Antonio M. Lacy
Servicio de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Barcelona, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (2)
Texto completo

51-year-old female patient with previous Roux-en-Y gastric bypass 10 years ago due to morbid obesity (adequate weight loss: BMI 44 kg/m2→27 kg/m2).

She was admitted at the emergency room for sudden abdominal pain and nausea without vomiting, At exploration she had stable hemodynamics, with distended and painful abdomen (epigastric region).

Blood test showed cholestasis and elevation of pancreatic enzymes. A CT-scan was performed identifying an occlusion due to retrograde invagination of jejunojejunal anastomosis (Fig. 1A–C), associating dilatation of the biliopancreatic limb, the bile duct and the gastric remnant (Fig. 1A).

Fig. 1
(0.06MB).

She underwent an exploratory laparoscopy (Fig. 2) with spontaneous resolution of the occlusion after starting pneumoperitoneum (Fig. 2). No signs of ischemia or internal hernias were found. Mesenteric defect were properly closed.

Fig. 2
(0.13MB).

Uneventful postoperative course.

After a 3 year follow-up the patient remains asymptomatic.

Please cite this article as: Guarner P, Ibarzabal A, Balibrea JM, Lacy AM. Oclusión de asa biliopancreática por intususcepción yeyunal en paciente con bypass gástrico previo. Cir Esp. 2020;98:292.

Copyright © 2019. AEC
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos