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Case Report ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Surg. | doi: 10.3389/fsurg.2019.00051

Torsional necrosis of an output loop internal hernia after Roux-en-Y choledochojejunostomy: a case report

  • 1Second Affiliated Hospital of Nanchang University, China

Ultra-short bowel syndrome (USBS) refers to a clinical condition characterized mainly by severe diarrhea and nutritional disorders caused by the residual small intestine length less than 30 cm [1]. After Roux-en-Y choledochojejunostomy, the output loop herniated from the back of the anti-reverse peristalsis loop, resulting in intestinal torsion and necrosis and leading to this rare case of internal hernia. Patients with torsion often show severe abdominal pain and persistent aggravation, but this symptom lacks specificity, making it easy to be misdiagnosed. Acute intestinal torsion and necrosis often lead to large-scale small bowel resection, resulting in USBS. We report a case of torsional necrosis of an output loop internal hernia after Roux-en-Y choledochojejunostomy, providing certain reference for diagnosis and management of such cases.

Keywords: Internal hernia, Volvulus, Bowel resection, Surgical operation, Roux-en-Y cholangiojejunostomy

Received: 22 Mar 2019; Accepted: 13 Aug 2019.

Copyright: © 2019 Huang, Ning and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Zhengming Zhu, Second Affiliated Hospital of Nanchang University, Nanchang, China, zzm8654@163.com