Open AccessRare, long-term complication after pancreatoduodenectomy—a case report of cecal volvulus
Author(s) -
Colleen Nofi,
Caroline Maloney,
Michelle P. Kallis,
Anna T Levy,
William H. Nealon,
Matthew J. Weiss,
Danielle K. DePeralta
Publication year - 2021
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 3
ISSN - 2042-8812
DOI - 10.1093/jscr/rjab202
Subject(s) - medicine , right hemicolectomy , surgery , colectomy , general surgery , presentation (obstetrics) , complication , volvulus , pancreaticoduodenectomy , resection , colorectal cancer , cancer
Complications after pancreatoduodenectomy are common, and range widely in timing of presentation, relation to pancreatobiliary pathology, and necessity of operative intervention. We present a case of a 74-year-old male with history of pancreatoduodenectomy for pancreatic adenocarcinoma who presented 11 months after index operation with cecal volvulus and required emergent right hemicolectomy. Prior history of pancreatoduodenectomy with mobilization of the right colon likely predisposed him to development of this surgical emergency. Patients have altered gastrointestinal anatomy after pancreatoduodenectomy and special care is necessary to protect the afferent biliopancreatic limb during intraoperative exploration, and particularly if right colectomy is necessary.