Carcinoma of gastric stump causing afferent loop obstruction and acute pancreatitis.
We report a case of a 79-year-old man who had undergone partial gastrectomy with Billroth-II (B-II) anastomosis 42 years ago for benign peptic ulcer. He presented with abdominal pain, distention and acute pancreatitis. Esophagogastroduodenoscopy showed a malignant mass obstructing the afferent stoma; surgical resection was performed. Pathogenesis of acute pancreatitis in this case and the problem of gastric stump carcinoma are discussed.
Mann
N S
NS
University of California, Davis, School of Medicine, USA.
Rachut
E
E
D000208:Acute Disease; D000343:Afferent Loop Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D000368:Aged; D018530:Gastric Stump; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000209:etiology*; D014057:Tomography, X-Ray Computed