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Updated: Dec 13, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Afferent Loop Syndrome with Intestinal Ischemia due to Internal Hernia after Whipple Operation for T2N1M0 Pancreatic
Marijan Pejic1, Arthur A Parsee2
1Department of Radiology, University of South Florida, 2 Tampa General Circle, STC 7028, United States.
Abstract:
Afferent loop syndrome is an uncommon complication of Whipple procedure. The often vague and non-specific presentation results in difficulty and/or delay in diagnosis, which may lead to bowel ischemia or perforation. CT can demonstrate characteristic features, yield the diagnosis of afferent loop syndrome, and predict the cause before surgical intervention. We present a rare etiology of acute afferent loop syndrome in a patient 6 weeks after Whipple procedure who was reportedly recovering well, which resulted in prompt surgical intervention.
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