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Roux loop obstruction following lateral pancreaticojejunostomy masquerading as recurrent pancreatitis
1Department of Surgery, St. John's Medical College Hospital, Bangalore-560 034, India.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|August 13, 2002
Summary
Recurrent pain after pancreatic drainage surgery can be challenging. This case highlights Roux loop obstruction as a rare complication years after lateral pancreaticojejunostomy for chronic pancreatitis.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Pancreatic drainage procedures, such as lateral pancreaticojejunostomy (LPJ), are performed for chronic pancreatitis.
- Recurrent post-operative pain is a recognized but difficult-to-manage complication.
Observation:
- A patient presented with recurrent abdominal pain four years after undergoing LPJ for chronic pancreatitis.
- Diagnostic workup revealed Roux loop obstruction.
Findings:
- Roux loop obstruction is a rare, late complication following lateral pancreaticojejunostomy.
- The obstruction occurred significantly after the initial surgical intervention.
Implications:
- This case underscores the importance of considering rare complications in the long-term management of patients with chronic pancreatitis.
- Awareness of potential Roux loop obstruction is crucial for accurate diagnosis and timely intervention in patients with prior pancreatic surgery.