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A 71-year-old man underwent total gastrectomy with Roux-en-Y reconstruction for gastric GIST in October 2017. Liver metastasis was identified in June 2019, and chemotherapy with imatinib was started in July. In December, the patient presented with acute upper abdominal pain and back pain.
View Article and Find Full Text PDFImaging the postoperative patient: long-term complications of gastrointestinal surgery.
Insights Imaging
February 2016
Medical Imaging Department, Coimbra Hospital and University Centre, Coimbra, Portugal.
Objectives: The objectives of this review are (1) to become acquainted with the long-term complications of surgery of the gastrointestinal tract, and (2) to appreciate the appropriate use of imaging in the assessment of long-term complications.
Background: Gastrointestinal tract surgery comprises a group of procedures performed for a variety of both benign and malignant diseases. In the late postoperative setting, adhesions and internal hernias are the most important complications.
Urgent living donor liver transplantation for biliary atresia complicated by a strangulated internal hernia at Roux-en Y limb: a case report.
Ann Transplant
March 2014
Department of Transplantation, National Center for Child Health and Development, Tokyo, Japan.
Background: When BA patients with end-stage liver dysfunction have bowel obstruction, especially strangulated internal hernia, selecting optimal surgical therapeutic options is crucial.
Case Report: An 11-month-old female with end-stage biliary atresia (BA) was admitted for a strangulated internal hernia at the Roux-en Y limb and frequent episodes of gastrointestinal bleeding requiring blood transfusion. She was scheduled within a month to receive a portion of the liver from her blood-type identical mother.
[Case report of internal hernia after surgery for gastric cancer].
Gan To Kagaku Ryoho
November 2010
Dept. of Surgery, Sakai Municipal Hospital.
We report rare cases of internal hernia after surgery for gastric cancer. Four patients who had undergone gastrectomy (Roux-en Y reconstruction) for gastric cancer were admitted to our hospital after onset of abdominal pain or vomiting. Abdominal X-ray revealed small intestine gas and niveau, and abdominal CT scan showed the whirl sign in all cases.
View Article and Find Full Text PDFImaging of small bowel-related complications following major abdominal surgery.
Eur J Radiol
March 2005
Department of Radiology, Indiana University Medical Center, UH 0279, 550 N. University Boulevard, Indianapolis, IN 46202, USA.
To recognize and document the small bowel reactions following major abdominal surgery is an important key for a correct diagnosis. Usually, plain abdominal radiography is the initial imaging examination requested in the immediate postoperative period, whereas gastrointestinal contrast studies are used to look for specific complications. In some countries, especially in Europe, sonography is widely employed to evaluate any acute affection of the abdomen.
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