- 期刊
胃全切除術後逆行性空腸空腸套疉－一罕見病例報告
Retrogade Jejno-Jejunal Intussusception a Rare Complication Following Total Gastric Resection
摘要
胃手術後發生空腸胃套疉本是罕見的合併症，全胃切除術後經由空腸空腸吻合口處發生空腸空腸套疉更屬少見，產生逆行性腸套疉則尚無報告。本文報告一例59歲男性，10年前曾因胃潰瘍接受全胃切除術及食道空腸吻合術及空腸空腸吻合術，突發性左上腹部疼痛及嘔吐，經手術證實此歪且於手術治療後治癒的病例，由於此合併症少見，僅就此病例的處理經過及文獻回顧，來討論此合併症的致病機轉，臨床表徵，診斷及治療。
關鍵字
無資料並列摘要
Jejunogastric intussusception in an infrequent complication following simple gastrojejunostomy or Billroth II anastomosis. Jejunojejunal intussusception through enteroenteric anastomosis following total gastrectomy, however, was reported in 2 cases. Here we present a case of a 59-year-old male patient with gastric ulcer who received a total gastrectomy with loop esophagojejunostomy and Braun's anastomosis 10 years previously, then developed retrograde jejunojejunal intussuception through Braun's anastomosis. the patient presented after a day of acute attacks of left upper quadrant pain with billious vomiting. In-time, an operation was performed with successful results. This complication of retrogade jejunojejunal intussusception has never been reported. Clinical history, diagnosis, and treatment are discussed.
延伸閱讀
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