Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass
Perforated ulcers of the excluded stomach or duodenum are exceedingly rare in patients who have undergone Roux-en-Y gastric bypass surgery. The diagnosis of perforated ulcer after Roux-en-Y gastric bypass remains challenging as there is often absence of free air or contrast extravasation from the bi...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/6662433 |
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| author | Amanda M. Marsh Ayman Almousa Thomas Genuit David Forcione Karin Blumofe |
| author_facet | Amanda M. Marsh Ayman Almousa Thomas Genuit David Forcione Karin Blumofe |
| author_sort | Amanda M. Marsh |
| collection | DOAJ |
| description | Perforated ulcers of the excluded stomach or duodenum are exceedingly rare in patients who have undergone Roux-en-Y gastric bypass surgery. The diagnosis of perforated ulcer after Roux-en-Y gastric bypass remains challenging as there is often absence of free air or contrast extravasation from the biliopancreatic limb. We present a patient with signs and symptoms of acute cholecystitis. Laparoscopic cholecystectomy was complicated by postoperative bile leak. EDGE procedure was performed to access the remnant stomach and endoscopic evaluation revealed a perforated ulcer in the posterior duodenal bulb. Although unusual, in patients with bariatric surgery and upper abdominal pain, differential diagnosis including perforated ulcer of the biliopancreatic limb must be considered and early surgical exploration is essential. |
| format | Article |
| id | doaj-art-36304880466641ef80a0bbcd37e9accc |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-36304880466641ef80a0bbcd37e9accc2025-02-03T01:24:43ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/66624336662433Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric BypassAmanda M. Marsh0Ayman Almousa1Thomas Genuit2David Forcione3Karin Blumofe4Department of General Surgery, Florida Atlantic University Schmidt College of Medicine, Boca Raton, Florida, USADepartment of General Surgery, Florida Atlantic University Schmidt College of Medicine, Boca Raton, Florida, USADepartment of General Surgery, Florida Atlantic University Schmidt College of Medicine, Boca Raton, Florida, USADepartment of General Surgery, Florida Atlantic University Schmidt College of Medicine, Boca Raton, Florida, USADepartment of General Surgery, Florida Atlantic University Schmidt College of Medicine, Boca Raton, Florida, USAPerforated ulcers of the excluded stomach or duodenum are exceedingly rare in patients who have undergone Roux-en-Y gastric bypass surgery. The diagnosis of perforated ulcer after Roux-en-Y gastric bypass remains challenging as there is often absence of free air or contrast extravasation from the biliopancreatic limb. We present a patient with signs and symptoms of acute cholecystitis. Laparoscopic cholecystectomy was complicated by postoperative bile leak. EDGE procedure was performed to access the remnant stomach and endoscopic evaluation revealed a perforated ulcer in the posterior duodenal bulb. Although unusual, in patients with bariatric surgery and upper abdominal pain, differential diagnosis including perforated ulcer of the biliopancreatic limb must be considered and early surgical exploration is essential.http://dx.doi.org/10.1155/2021/6662433 |
| spellingShingle | Amanda M. Marsh Ayman Almousa Thomas Genuit David Forcione Karin Blumofe Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass Case Reports in Surgery |
| title | Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass |
| title_full | Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass |
| title_fullStr | Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass |
| title_full_unstemmed | Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass |
| title_short | Bile Leak following Laparoscopic Cholecystectomy due to Perforated Duodenal Ulcer in Patient with Roux-en-Y Gastric Bypass |
| title_sort | bile leak following laparoscopic cholecystectomy due to perforated duodenal ulcer in patient with roux en y gastric bypass |
| url | http://dx.doi.org/10.1155/2021/6662433 |
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