Rare, long-term complication after pancreatoduodenectomy-a case report of cecal volvulus.

J Surg Case Rep

Northwell North Shore/Long Island Jewish, Department of Surgery, Queens, NY 11040, USA.

Published: May 2021

AI Article Synopsis

  • * This patient, who had undergone the procedure due to pancreatic adenocarcinoma, required an emergency right hemicolectomy due to this complication.
  • * It emphasizes that prior surgeries can affect gastrointestinal anatomy and underscores the need for careful surgical planning to avoid harming the biliopancreatic limb during subsequent operations.

Article Abstract

Complications after pancreatoduodenectomy are common, and range widely in timing of presentation, relation to pancreatobiliary pathology, and necessity of operative intervention. We present a case of a 74-year-old male with history of pancreatoduodenectomy for pancreatic adenocarcinoma who presented 11 months after index operation with cecal volvulus and required emergent right hemicolectomy. Prior history of pancreatoduodenectomy with mobilization of the right colon likely predisposed him to development of this surgical emergency. Patients have altered gastrointestinal anatomy after pancreatoduodenectomy and special care is necessary to protect the afferent biliopancreatic limb during intraoperative exploration, and particularly if right colectomy is necessary.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8163421PMC
http://dx.doi.org/10.1093/jscr/rjab202DOI Listing

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