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Surgery Today

, Volume 24, Issue 12, pp 1078–1080 | Cite as

The development of a small bowel volvulus in the early postoperative period following a distal gastrectomy: Report of a case

  • Tomosaburo Sakamoto
  • Masahiko Miyata
  • Makoto Nakamuro
  • Masaaki Izukura
  • Wataru Kamiike
  • Hikaru Matsuda
Case reports

Abstract

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 Words

volvulus small intestine distal gastrectomy 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Tomosaburo Sakamoto
    • 1
  • Masahiko Miyata
    • 1
  • Makoto Nakamuro
    • 1
  • Masaaki Izukura
    • 1
  • Wataru Kamiike
    • 1
  • Hikaru Matsuda
    • 1
  1. 1.First Department of SurgeryOsaka University Medical SchoolOsakaJapan

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