title: Nonspecific ulcerated jejunitis as an unusual complication of laparoscopic cholecystectomy: report of a case.
abstract: 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.
authors.affiliation: School of Medicine, Department of General Surgery, Firat University, Elazig, Turkey.
authors.forename: M A
authors.initials: MA
authors.lastname: Akkuş
authors.forename: Z
authors.initials: Z
authors.lastname: Cetinkaya
authors.forename: Y S
authors.initials: YS
authors.lastname: Ilhan
authors.forename: S A
authors.initials: SA
authors.lastname: Caboglu
authors.forename: N
authors.initials: N
authors.lastname: Bülbüller
mesh_terms: 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