胃空肠吻合处穿孔性溃疡:胰十二指肠切除术的罕见并发症(病例报告)。

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pan African Medical Journal Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI:10.11604/pamj.2024.48.38.43787
Mohamed El Hammouti, Amine Majdoubi, Anass El Achchi, Tariq Bouhout, Badr Serji
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引用次数: 0

摘要

胰十二指肠切除术(PD)是公认的最复杂的腹部外科手术之一,往往伴随着高发病率。胰十二指肠切除术后在胃空肠吻合口处发生吻合口溃疡是一种相对少见的并发症,尽管有可能导致严重的、危及生命的后果。主要症状表现为急性腹痛并伴有腹膜炎。传统上,诊断是通过计算机断层扫描(CT)来实现的,这有利于后续处理,大多数情况下建议采用手术治疗。在本文中,我们介绍了一例罕见病例,患者在接受胰十二指肠切除术并保留胃后,胃空肠吻合处发生溃疡穿孔,我们回顾了现有文献,以进一步了解此类手术干预的罕见并发症。
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Perforated ulcer at the gastrojejunal anastomosis: a rare complication of pancreaticoduodenectomy (case report).

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.

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来源期刊
Pan African Medical Journal
Pan African Medical Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.80
自引率
0.00%
发文量
691
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