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Postoperative intraluminal blood clots after a hepaticojejunostomy: rare, fast-action complication

Coágulos intraluminales en postoperatorio de una hepaticoyeyunostomía: rara complicación para un rápido actuar

dc.creatorMarín Marmolejo, Juan Carlos
dc.creatorSarmiento, Luis Antonio
dc.creatorMartínez, Juan David
dc.date2020-07-22
dc.date.accessioned2022-03-03T21:03:12Z
dc.date.available2022-03-03T21:03:12Z
dc.identifierhttps://revistas.unab.edu.co/index.php/medunab/article/view/3823
dc.identifier10.29375/01237047.3823
dc.identifier.urihttp://test.repositoriodigital.com:8080/handle/123456789/16497
dc.descriptionIntroduction: An intestinal obstruction due to intraluminal blood clots is a postoperative complication that is infrequently reported in literature. We reported the case of a patient with an intestinal obstruction due to postoperative intraluminal blood clots from a Roux-en-Y hepaticojejunostomy. Clinical Case: A 53-year-old male patient appeared with recurring cholangitis secondary to a benign stenosis of the bile duct after a laparoscopic cholecystectomy performed 2 years prior. Treatment with an endoprosthesis by endoscopic retrograde cholangiopancreatography (ERCP) did not improve cholangitis episodes, for which reason transition to reconstruction by hepaticojejunostomy was considered. He showed signs of intestinal obstruction during early postoperative care. The computed tomography (CT) scan of the abdomen with contrast showed free fluid and signs of obstruction. The patient was taken to an emergency surgery, where the Roux-en-Y anastomosis was found to be obstructed by a large intraluminal blood clot. It required an enterotomy to be extracted. Discussion: A postoperative intestinal obstruction secondary to intraluminal blood clots is unusual, but must be suspected in patients with symptoms of intestinal obstruction. The ideal method for diagnosis is by tomography and treatment involves a relaparotomy to extract the blood clots. It is important for doctors to have knowledge of this condition, since it is a rare complication that requires good diagnostic insight and timely treatment. en-US
dc.descriptionIntroducción: La obstrucción intestinal por coágulo intraluminal es una complicación posquirúrgica poco frecuente reportada en la literatura. Reportamos el caso de un paciente con obstrucción intestinal por coágulos intraluminales posquirúrgicos de una hepaticoyeyunostomía con Y de Roux. Caso clínico: Paciente masculino de 53 años de edad, se presenta con cuadro de colangitis recurrente, secundaria a estenosis benigna de la vía biliar post colecistectomía laparoscópica, realizada hace 2 años. En su manejo con endoprótesis por colangiopancreatografía retrógrada endoscópica (CPRE) no mejoró de sus episodios de colangitis, por lo que se consideró el paso a una reconstrucción tipo hepaticoyeyunostomía. En el postoperatorio temprano, presentó signos de obstrucción intestinal. La tomografía computarizada (TC) abdominal contrastada demostró líquido libre y signos de obstrucción. Es llevado a cirugía de urgencia, encontrándose la anastomosis en Y de Roux obstruida por gran coágulo intraluminal, requiriendo enterotomía para su extracción. Discusión: La obstrucción intestinal postoperatoria secundaria a un coágulo intraluminal es inusual, se debe sospechar en paciente con síntomas de obstrucción intestinal. El método ideal para el diagnóstico es la tomografía y el tratamiento es con relaparotomía para extraer los coágulos. Es importante el conocimiento de esta entidad para cualquier médico, ya que es una rara complicación en la que se necesita una buena sospecha diagnóstica y un tratamiento oportuno. es-ES
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dc.publisherUNABes-ES
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3823/3289
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3823/3302
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dc.rightsDerechos de autor 2020 MedUNABes-ES
dc.rightshttps://creativecommons.org/licenses/by-nc/4.0es-ES
dc.sourceMedUNAB; Vol. 23 No. 2 (2020): august -november 2020: General surgery, Coronavirus, Hemorrhoids; 294-300en-US
dc.sourceMedUNAB; Vol. 23 Núm. 2 (2020): agosto - noviembre 2020: Cirugía general, Coronavirus, Hemorroides; 294-300es-ES
dc.source2382-4603
dc.source0123-7047
dc.subjectThrombosisen-US
dc.subjectSmall Intestineen-US
dc.subjectIntestinal Obstructionen-US
dc.subjectGastrectomyen-US
dc.subjectPostoperative Perioden-US
dc.subjectTrombosises-ES
dc.subjectIntestino Delgadoes-ES
dc.subjectObstrucción Intestinales-ES
dc.subjectGastrectomíaes-ES
dc.subjectPeriodo Posoperatorioes-ES
dc.titlePostoperative intraluminal blood clots after a hepaticojejunostomy: rare, fast-action complicationen-US
dc.titleCoágulos intraluminales en postoperatorio de una hepaticoyeyunostomía: rara complicación para un rápido actuares-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


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