title: Antegrade bowel intussusception after remote Whipple and Puestow procedures for treatment of pancreas divisum.
abstract: To date, antegrade intussusception involving a Roux-en-Y reconstruction has been reported only once. We report a case of acute bowel obstruction due to an intussusception involving two Roux-en-Y limbs in a 40-year-old woman with a history of chronic pancreatitis due to pancreas divisum. Four years preceding this event, the patient had undergone a Whipple procedure, and three years prior to that, a Puestow operation. The patient was successfully treated with bowel resection and a side-to-side anastomosis between the most distal aspect of the bowel and the most distal Roux-en-Y reconstruction, which preserved both Roux-en-Y reconstructions.
authors.affiliation: University of Arizona Health Science Center, and Southern Arizona Veteran Affairs Health Care System, Surgery Section, 3601 South 6th Avenue, Vascular Surgery Section Room N259, Tucson, AZ 85723, United States.
authors.forename: Manuel
authors.initials: M
authors.lastname: Gigena
authors.forename: Hugo V
authors.initials: HV
authors.lastname: Villar
authors.forename: Negar G
authors.initials: NG
authors.lastname: Knowles
authors.forename: John T
authors.initials: JT
authors.lastname: Cunningham
authors.forename: Erik K
authors.initials: EK
authors.lastname: Outwater
authors.forename: Luis R
authors.initials: LR
authors.lastname: Leon
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology*; D007579:Jejunal Diseases / Q000175:diagnosis / Q000209:etiology*; D010179:Pancreas / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D010195:Pancreatitis / Q000601:surgery*; D014057:Tomography, X-Ray Computed