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Intestinal obstruction by a pancreatic bezoar: a case report
Margherita Luperto1, Matteo Maternini, Arianna Ciravegna
1Department of Surgery and Translational Medicine, Milano-Bicocca University, San Gerardo Hospital, Monza, Italy. luca.gianotti@unimib.it.
JOP : Journal of the Pancreas
|July 31, 2014
Summary
Pancreatic pseudocysts can cause bowel obstruction. A rare case of pancreatic bezoar after jejunal-pseudocyst anastomosis highlights its importance in differential diagnosis for post-operative intestinal obstruction.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Pancreatic pseudocysts are common sequelae of pancreatitis.
- Treatment is reserved for symptomatic or complicated cases.
Observation:
- A 66-year-old male presented with bowel obstruction 16 days post-jejunit-pseudocyst anastomosis.
- The obstruction was attributed to a necrotic pancreatic bezoar, a rare complication following pseudocyst drainage procedures.
Findings:
- Pancreatic bezoars, though uncommon, can precipitate intestinal obstruction after pancreatic surgeries.
- This case highlights a specific instance of a necrotic pancreatic bezoar causing a critical complication post-anastomosis.
Implications:
- Necrotic pancreatic bezoars must be included in the differential diagnosis for intestinal obstruction following jejunal-pseudocyst anastomosis.
- Awareness of this rare complication can guide timely diagnosis and management in similar clinical scenarios.
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