The development of a small bowel volvulus in the early postoperative period following a distal gastrectomy: Report of a case
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A 51-year-old Japanese man who underwent a standard distal gastrectomy for cancer of the stomach developed abdominal pain when oral intake was commenced on the 6th postoperative day after an uneventful postoperative course. Complete obstruction of the jejunum led to a sudden deterioration in his general condition and a laparotomy was performed, revealing counterclockwise rotation of the mesenterium. The necrotic portion of the small intestine was removed, while 10 cm of the upper jejunum and 100 cm of the terminal ileum were preserved. His second postoperative course was uneventful apart from the development of “intestinal hurry,” which is now under medical control 9 months after his second laparotomy.
Key Wordsvolvulus small intestine distal gastrectomy
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- 1.Schussling G, Senst W (1989) Zum akuten Darmverschluss durch angeborene Darmanomalien. Zentralbl Gynakol 111:243–249Google Scholar
- 2.Votocek J, Vavrik J (1991) Acute abdomen as a postoperative complication (in Czech with English abstract). Rozhl-Chir 70: 398–403Google Scholar
- 3.Roggo A, Ottinger LW (1992) Acute small bowel volvulus in aduls. Ann Surg 216:135–141Google Scholar
- 4.Welch GH, Anderson JR (1986) Volvulus of the small intestine in adults. World J Surg 10:496–500Google Scholar
- 5.Frazee RC, Mucha P Jr, Farnell MB, Heerden JA (1988) Volvulus of the small intestine. Ann Surg 208:565–568Google Scholar
- 6.Mucha P Jr (1987) Small intestinal obstruction. Surg Clin North Am 67:597–620Google Scholar