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Accession number;03A0117073
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| Title;A Case of Acute Afferent Loop Syndrome Causing an Extensive Retroperitoneal Abscess without Perforation of Afferent Loop. |
| Author;
AOKI KIICHI
(Noshiroyamamotokumiaisogobyoin Geka)
KOEDA KEISUKE
(Noshiroyamamotokumiaisogobyoin Geka)
IWAYA TAKESHI
(Noshiroyamamotokumiaisogobyoin Geka)
SAITO KAZUYOSHI
(Iwate Medical Univ., JPN)
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Journal Title;Journal of Japan Surgical Association
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Journal Code:Z0103A
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ISSN:1345-2843
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VOL.64;NO.1;PAGE.74-78(2003)
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| Figure&Table&Reference;FIG.7, REF.7 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 61-year-old man with diabetes who had been performed total gastrectomy 3 years ago was admitted to hospital because of an acute abdomen. With a diagnosis of strangulated intestinal obstruction, an emergency operation was performed. A region of the intestine located about 10 cm distally from a Roux-Y anastomosis was strangulated and had caused an afferent loop syndrome. Though the duodenum was extremely dilated and gas had extended the area surrounding the duodenum, no remarkable perforations or necrosis were recognized. The strangulated intestine was released, and a drainage tube was inserted close to the duodenum. On the 2nd postoperative day (POD), skin rubor was observed in the right lumbar resion, and a retroperitoneal abscess was detected by CT on the 17th POD. The abscess was drained through a skin incision, but the defect in the retroperitoneal tissue was extensive. The defect was repaired using a skin flap on the 169th POD. It is possible that exudation of intestinal juice from dilated duodenum caused development of retroperitoneal abscess. Patients with acute afferent loop syndrome who have immunosuppressive complications such as diabetes should be frequently examined for US, even if no signs of perforation or necrosis are present. (author abst.) |
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