Afferent Loop syndrome with associated perforation 15 years after gastrectomy and Roux-En-Y Reconstruction

Authors

  • Jamish Gandhi
  • Lance Buckthought
  • Aleksandra Popadich

DOI:

https://doi.org/10.3823/1664

Abstract

An elderly patient presented to our institution with abdominal pain, nausea and vomiting. She had an extensive surgical background including gastrectomy with Roux-en-y reconstruction undertaken 15 years earlier. A CT abdomen demonstrated a small bowel obstruction proximal to the jejunojejunostomy with features suggestive of afferent loop syndrome (ALS), a rare but known complication following Roux-en-y reconstruction. Initial surgery identified a band adhesion and an associated ischemic small bowel segment, which was resected with primary anastomosis. A further operation was required at post-operative day five due to clinical deterioration. A retroperitoneal collection was identified secondary to perforation of the afferent loop.

Downloads

Published

2015-03-27

Issue

Section

General Surgery