Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report
Abstract Background Malrotation is a congenital anomaly during the development of the embryonic intestine. Although it is generally considered a pediatric surgical condition, it can have significant implications for adult surgery in terms of reconstruction. Case presentation The patient was an 85-ye...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2020-09-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00991-x |
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| _version_ | 1849245252568743936 |
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| author | Yumiko Kageyama Ryuzo Yamaguchi Shinya Watanabe Keiji Aizu Shinichiro Kobayashi Fumiya Sato Hironori Fujieda Yoshitaka Toyoda Tsutomu Iwata |
| author_facet | Yumiko Kageyama Ryuzo Yamaguchi Shinya Watanabe Keiji Aizu Shinichiro Kobayashi Fumiya Sato Hironori Fujieda Yoshitaka Toyoda Tsutomu Iwata |
| author_sort | Yumiko Kageyama |
| collection | DOAJ |
| description | Abstract Background Malrotation is a congenital anomaly during the development of the embryonic intestine. Although it is generally considered a pediatric surgical condition, it can have significant implications for adult surgery in terms of reconstruction. Case presentation The patient was an 85-year-old man with pancreatic cancer and intestinal malrotation. He underwent pancreaticoduodenectomy with modified Child’s reconstruction. Because the ascending colon and efferent loop twisted easily, we fixed the ascending colon to the abdominal wall. Thereafter, right twist and stenosis of the efferent loop occurred. On the 22nd day after the initial surgery, detorsion and Braun anastomosis were performed for efferent loop fixation. Postoperative oral intake was good, and the patient was discharged from our hospital on the 24th day after the reoperation. Conclusions This is a rare case of pancreaticoduodenectomy with malrotation following reoperation due to a complication after Child’s reconstruction. In similar cases of intestinal malrotation, it is important to consider avoiding coaxial positioning of intestinal parts and an upper abdominal space while selecting a reconstruction method. |
| format | Article |
| id | doaj-art-db33147399f74f859feeac698a67ba29 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-db33147399f74f859feeac698a67ba292025-08-20T03:58:53ZengJapan Surgical SocietySurgical Case Reports2198-77932020-09-01611610.1186/s40792-020-00991-xPancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case reportYumiko Kageyama0Ryuzo Yamaguchi1Shinya Watanabe2Keiji Aizu3Shinichiro Kobayashi4Fumiya Sato5Hironori Fujieda6Yoshitaka Toyoda7Tsutomu Iwata8Department of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalDepartment of Surgery, Kasugai Municipal HospitalAbstract Background Malrotation is a congenital anomaly during the development of the embryonic intestine. Although it is generally considered a pediatric surgical condition, it can have significant implications for adult surgery in terms of reconstruction. Case presentation The patient was an 85-year-old man with pancreatic cancer and intestinal malrotation. He underwent pancreaticoduodenectomy with modified Child’s reconstruction. Because the ascending colon and efferent loop twisted easily, we fixed the ascending colon to the abdominal wall. Thereafter, right twist and stenosis of the efferent loop occurred. On the 22nd day after the initial surgery, detorsion and Braun anastomosis were performed for efferent loop fixation. Postoperative oral intake was good, and the patient was discharged from our hospital on the 24th day after the reoperation. Conclusions This is a rare case of pancreaticoduodenectomy with malrotation following reoperation due to a complication after Child’s reconstruction. In similar cases of intestinal malrotation, it is important to consider avoiding coaxial positioning of intestinal parts and an upper abdominal space while selecting a reconstruction method.http://link.springer.com/article/10.1186/s40792-020-00991-xPancreaticoduodenectomyMalrotationReconstructionReoperation |
| spellingShingle | Yumiko Kageyama Ryuzo Yamaguchi Shinya Watanabe Keiji Aizu Shinichiro Kobayashi Fumiya Sato Hironori Fujieda Yoshitaka Toyoda Tsutomu Iwata Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report Surgical Case Reports Pancreaticoduodenectomy Malrotation Reconstruction Reoperation |
| title | Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report |
| title_full | Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report |
| title_fullStr | Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report |
| title_full_unstemmed | Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report |
| title_short | Pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop: a case report |
| title_sort | pancreaticoduodenectomy with malrotation following reoperation due to torsion of efferent loop a case report |
| topic | Pancreaticoduodenectomy Malrotation Reconstruction Reoperation |
| url | http://link.springer.com/article/10.1186/s40792-020-00991-x |
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