Nonspecific ulcerated jejunitis as an unusual complication of laparoscopic cholecystectomy: report of a case.
We describe herein the case of a 65-year-old man in whom a lower gastrointestinal hemorrhage developed a few days after he underwent an elective laparoscopic cholecystectomy. A laparotomy was performed on postoperative day 16 and a jejunal segment containing mucosal changes and oozing ulcers was resected. Pathologic examination of the specimen revealed "nonspecific ulcerated jejunitis." There is no explanation for the etiopathogenesis of this pathology; however, we concluded that this clinical picture may be attributed to ischemia-reperfusion injury that occurred following an ischemic period caused by the pneumoperitoneum during laparoscopic surgery.
Akkuş
M A
MA
School of Medicine, Department of General Surgery, Firat University, Elazig, Turkey.
Cetinkaya
Z
Z
Ilhan
Y S
YS
Caboglu
S A
SA
Bülbüller
N
N
D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D006801:Humans; D007579:Jejunal Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011183:Postoperative Complications; D015427:Reperfusion Injury / Q000209:etiology*; D014456:Ulcer / Q000209:etiology* / Q000473:pathology