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Application of Robot-assisted Pancreaticobiliary Junction Resection in Benign Duodenal Tumors
Published on: December 20, 2024
Adhesive duodenal obstruction: a report of a previously undescribed pathology
Akil Baker1, Michelle Walcott-Bremmer2, John Harriott3
1Section of Surgery, Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medicine, University of the West Indies, Mona Campus, Kingston 7, Jamaica.
Abstract:
Adhesive small bowel obstruction is thought to be a disorder limited to the jejunum and ileum. As a result, the list of aetiologies for duodenal obstruction does not include adhesions. We report the case of a patient who presented with gastric outlet obstruction (GOO), but with no lesions identified on cross-sectional imaging or endoscopy. Laparoscopy revealed duodenal adhesions as the cause of her GOO. Kockerization of the duodenum led to resolution of her symptoms. This previously undocumented finding leads us to suggest that laparoscopy should be considered in patients who have features highly suspicious for GOO, but have no cause identified on investigation.
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