The University of Dublin | Trinity College -- Ollscoil Átha Cliath | Coláiste na Tríonóide
Trinity's Access to Research Archive
Home :: Log In :: Submit :: Alerts ::

TARA >
School of Medicine >
Surgery >
Surgery (Scholarly Publications) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/61834

Title: Internal hernia following total gastrectomy with Roux-en-Y reconstruction.
Author: RAVI, NARAYANASAMY
REYNOLDS, JOHN
Author's Homepage: http://people.tcd.ie/reynoljv
http://people.tcd.ie/ravin
Keywords: Surgery
Internal herniation
Issue Date: 2011
Citation: Larkin JO, Cooke F, Ravi N, Reynolds JV, Internal hernia following total gastrectomy with Roux-en-Y reconstruction., Annals of the Royal College of Surgeons of England, 93, 6, 2011, e71-3
Series/Report no.: Annals of the Royal College of Surgeons of England
93
6
Abstract: Internal herniation is a well-described complication after a gastric bypass, particularly when performed laparoscopically, although it is rarely described following a total gastrectomy. A 55-year-old lady presented with a 24-hour history of vomiting and rigors 10 months after a radical total gastrectomy with Roux-en-Y reconstruction for a gastric adenocarcinoma. Computed tomography (CT) showed a complete small bowel obstruction and a mesenteric swirl sign, indicating a possible internal hernia. The entire small bowel was found at laparotomy to have migrated through the mesenteric defect adjacent to the site of the previous jejunojejunostomy and was dark purple and aperistaltic. The small bowel was reduced through the defect. At a second laparotomy, the small bowel looked healthy and the defect was repaired. Postoperative recovery was unremarkable. Of numerous signs described, the mesenteric swirl sign is considered the best indicator on CT of an internal hernia following Roux-en-Y reconstruction in gastric bypass surgery. A swirl sign on CT in a patient with abdominal pain should always raise the suspicion of an internal hernia.
Description: PUBLISHED
URI: http://hdl.handle.net/2262/61834
Appears in Collections:Surgery (Scholarly Publications)

Files in This Item:

File Description SizeFormat
Internal hernia following total gastrectomy with Roux-en-Y reconstruction.pdfPublished (publisher's copy) - Peer Reviewed188.53 kBAdobe PDFView/Open


This item is protected by original copyright


Please note: There is a known bug in some browsers that causes an error when a user tries to view large pdf file within the browser window. If you receive the message "The file is damaged and could not be repaired", please try one of the solutions linked below based on the browser you are using.

Items in TARA are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback