title: Acute abdomen 10 years after surgery for duodenal ulcer disease.
abstract: A 55 years old male was admitted in the surgical unit of Dhaka Medical College & Hospital with the complaints of pain and discomfort in the upper abdomen for 1 day and hiccough and vomiting for several episodes for same duration. He had history of abdominal operation 10 years back for his peptic ulcer disease probably due to pyloric stenosis. On examination a linear scar mark was present along the upper midline region & visible peristalsis was seen on the left hypochondriac region. A palpable diffuse lump was present in the left hypochondriac region which was intraperitoneal seemed to be distended gut and the peristaltic wave moved from left to right. Endoscopy of upper GIT Showed loops of small intestine (evidenced by valvulae conneventes) protruded through a stoma suggestive of jejunogastric intussusception. Laparotomy revealed a portion of adherent small gut already become gangrenous so the whole portion of the intussuscepted gut was resected. After that revision and take-down of the anastomosis was done with vicryl stitches. The post operative period was uneventful. The patient underwent regular follow up.
authors.affiliation: Upazila Health Complex, Tungibari, Munshigonj, Bangladesh.
authors.forename: T
authors.initials: T
authors.lastname: Ahmed
authors.forename: A A
authors.initials: AA
authors.lastname: Ali
authors.forename: M
authors.initials: M
authors.lastname: Jahan
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D004381:Duodenal Ulcer / Q000601:surgery; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged