Laparoscopic management for spontaneous jejunal perforation caused by nonspecific ulcer: A case report
نویسندگان
چکیده
INTRODUCTION Nonspecific small bowel ulcers are rare and there have been limited reports. We applied laparoscopic surgery successfully for the perforation caused by this disease of jejunum. PRESENTATION OF CASE A 70-year-old man visited to our hospital with complaint of abdominal pain and fever. He was diagnosed abdominal peritonitis with findings of intraperitoneal gas and fluid. Emergency laparoscopic surgery was performed. A perforation 5mm in diameter was recognized in jejunum opposite side of mesentery. Partial resection of jejunum with end-to-end anastomosis and peritoneal lavage were performed. Pathologically, an ulcer was recognized around the blowout perforation without specific inflammation. He was discharged uneventfully 12days after surgery. CONCLUSION Laparoscopic surgery has diagnostic and therapeutic advantages because of its lower invasion with a good operation view, and in case of the small bowel, it is easy to shift extra-corporeal maneuver.
منابع مشابه
Laparoscopic Repair of a Large Duodenal Perforation Secondary to an Indwelling Nasogastric Tube in a Tracheotomized Adult
Laparoscopic repair of perforated duodenal ulcers is safe and effective in centers with experience and increasingly performed by laparoscopic surgeons. However, the role of laparoscopy for the management of large duodenal perforations (>1 cm) is unclear. To date, no experience has been reported with emergency laparoscopic repair of large perforations for gastroduodenal ulcers. The commonest rea...
متن کاملMyxoglobulosis, A Rare Variant of Appendiceal Mucocele: Case Report and Review of the Literature
Introduction: Appendiceal mucocele is a term referring to the abnormal accumulation of mucus into the lumen of appendix regardless of the underlying cause. Mucocele alone is not considered a rare finding in routine appendectomy. However, the coexistence of multiple small intraluminal globoid bodies as “myxoglobulosis” or “caviar appendix” is a rare finding. Case report: We report a 54 year old ...
متن کاملLaparoscopic resection of an incidental appendiceal mucocele: is it correct. Case report.
Mucocele of the appendix is an uncommon disorder, characterized by a cystic dilatation of the lumen; it's mainly due to mucinous cystadenoma. Definite diagnosis is difficult preoperatively. It can be discovered incidentally at laparotomy or laparoscopy performed for other reason. Treatment consist in complete resection avoiding rupture of the cyst in the peritoneal cavity. Indeed, rupture of th...
متن کاملLaparoscopic Pylorus- and Spleen-Preserving Duodenopancreatectomy for a Multifocal Neuroendocrine Tumor
BACKGROUND In contrast to laparoscopic left pancreatic resection, laparoscopic total duodenopancreatectomy is a procedure that has not been standardized until now. It is not only the complexity that limits such a procedure but also its rare indication. The following article demonstrates the technical aspects of laparoscopic pylorus- and spleen-preserving duodenopancreatectomy. CASE REPORT The...
متن کاملManagement of Enteropathy-Associated T-Cell Lymphoma: An Algorithmic Approach
Perforation of the small intestine is the most lethal complication following induction chemotherapy for enteropathy-associated T-cell lymphoma (EATL). We report a case of EATL with a near perforated jejunal ulcer, and suggest a novel approach towards its management. Surgical resection followed by aggressive chemotherapy should limit chemotherapy-associated gastrointestinal toxicity, thus allowi...
متن کامل