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Inicio Cirugía Española (English Edition) Occlusive hematoma inside the jejuno-jejunal anastomosis after gastrectomy: Earl...
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Vol. 96. Issue 9.
Pages 583 (November 2018)
Vol. 96. Issue 9.
Pages 583 (November 2018)
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DOI: 10.1016/j.cireng.2018.11.005
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Occlusive hematoma inside the jejuno-jejunal anastomosis after gastrectomy: Early diagnosis and treatment
Hematoma oclusivo a nivel del pie de asa posgastrectomía: diagnóstico precoz y tratamiento
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Clara Codony Bassols
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clcodony@gmail.com

Corresponding author.
, Júlia Gil Garcia, Elisabet García-Moriana, Marcel Pujadas de Palol
Servicio de Cirugía General y Digestiva, Hospital Universitari Dr. Josep Trueta, Girona, Spain
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The patient is a 39-year-old man on the second postoperative day after subtotal gastrectomy with laparoscopic Roux-en-Y reconstruction for pyloric cancer. He presented acute, intense pain with abdominal distension and vomiting. Computed tomography showed an occlusive hematoma at the base of the loop, causing retrograde dilatation of the biliopancreatic and intestinal loops (Figure 1). Urgent surgery was performed by accessing the jejunal-jejunal anastomosis through the previous assistance incision. The anastomotic sutures were removed to evacuate the hematoma and later re-sutured, thereby resolving an atypical occlusive condition with the potentially serious complication of dehiscence of both the duodenal stump and the jejuno-jejunal anastomosis. Diagnosis of the case: occlusive hematoma at the base of the post-gastrectomy loop

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Please cite this article as: Bassols CC, Garcia JG, García-Moriana E, Palol MPd. Hematoma oclusivo a nivel del pie de asa posgastrectomía: diagnóstico precoz y tratamiento. Cir Esp. 2018;96:583.

Copyright © 2018. AEC
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