Duodenal necrosis secondary to a closed-loop bowel obstruction with novel reconstruction.
Duodenal necrosis is rare in children and presents a significant surgical challenge. We describe a 12-year-old girl who presented with duodenal necrosis secondary to a closed-loop bowel obstruction. We describe the diagnostic images, operative findings, and a novel reconstruction technique. This case highlights an alternative strategy for reestablishing gastrointestinal and biliopancreatic continuity while avoiding more complex procedures.
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Massimo
M
Arcerito
Daniel R
DR
Margulies
Philip K
PK
Frykman
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D057868:Anastomotic Leak / Q000209:etiology; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004378:Duodenal Diseases / Q000209:etiology* / Q000473:pathology; D004386:Duodenum / Q000473:pathology* / Q000601:surgery; D005260:Female; D015390:Gastric Bypass; D005774:Gastrostomy; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D045822:Intestinal Volvulus / Q000150:complications* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000601:surgery; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy; D015282:Octreotide / Q000627:therapeutic use; D010289:Parenteral Nutrition, Total; D011006:Pneumatosis Cystoides Intestinalis / Q000000981:diagnostic imaging / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D012121:Respiration, Artificial; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy
D015282:Octreotide