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Case Reports
. 2021 May 28;2021(5):rjab202.
doi: 10.1093/jscr/rjab202. eCollection 2021 May.

Rare, long-term complication after pancreatoduodenectomy-a case report of cecal volvulus

Colleen P Nofi  1 , Caroline Maloney  1 , Michelle P Kallis  1 , Anna T Levy  2 , William H Nealon  1 , Matthew J Weiss  1 , Danielle K DePeralta  1
Affiliations
Case Reports

Rare, long-term complication after pancreatoduodenectomy-a case report of cecal volvulus

Colleen P Nofi et al. J Surg Case Rep. .

Abstract

Complications after pancreatoduodenectomy are common, and range widely in timing of presentation, relation to pancreatobiliary pathology, and necessity of operative intervention. We present a case of a 74-year-old male with history of pancreatoduodenectomy for pancreatic adenocarcinoma who presented 11 months after index operation with cecal volvulus and required emergent right hemicolectomy. Prior history of pancreatoduodenectomy with mobilization of the right colon likely predisposed him to development of this surgical emergency. Patients have altered gastrointestinal anatomy after pancreatoduodenectomy and special care is necessary to protect the afferent biliopancreatic limb during intraoperative exploration, and particularly if right colectomy is necessary.

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Figures

Figure 1
Figure 1
CT of the abdomen and pelvis demonstrating severe intrahepatic and extrahepatic biliary ductal dilation and multiple splenic hemangiomas.
Figure 2
Figure 2
CT of the abdomen and pelvis demonstrating coffee-bean shaped cecum in left upper quadrant dilated to 12 cm, consistent with cecal volvulus.
Figure 3
Figure 3
Intraoperative picture of cecal volvulus.
See this image and copyright information in PMC

References

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