Non-occlusive distal duodenal and proximal jejunal necrosis

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Non-occlusive distal duodenal and proximal jejunal necrosis – a case report

Journal Title: Pomeranian Journal of Life Sciences - Year 2019, Vol 65, Issue 2

Abstract

The article presents a case of isolated, non-occlusive necrosis of the distal duodenum and proximal jejunum in an elderly patient, burdened with chronic obstructive lung disease, but without concomitant vascular or gastrointestinal disease. Diagnostic investigations included endoscopy and angio-CT. Surgery was peformed and treatment comprised resection of the necrotic parts of the duodenum and jejunum, followed by gastro-jejuno anastomosis and pyloroplasty. Post-operative course was complicated by upper gastrointestinal (GI) bleeding from multiple gastric ulcers, developed due to duodenal juice reflux into the stomach. The bleeding was successfully controlled by intensive conservative treatment with a proton pump inhibitor and somatostatin. Unfortunately, further complications developed, including urinary tract infection, respiratory failure, and sepsis, which eventually caused patient death in the intensive care unit, 2 months after the operation.

Authors and Affiliations

Andrzej Żyluk, Wojciech Jagielski, Bernard Piotuch

Keywords

non-occlusive duodenal/intestinal necrosis; upper gastrointestinal bleeding

Ocena wskaźnika kostka–ramię u seniorów jako badanie przesiewowe w diagnostyce niedokrwienia kończyn dolnych w kontekście zastosowanych metod badania i w odniesieniu do młodszych pacjentów

Wstęp: Wskaźnik kostka–ramię (ABI) wyraża stosunek ciśnienia skurczowego w tętnicach zlokalizowanych na podudziach, tj. tętnicy piszczelowej tylnej bądź tętnicy grzbietowej stopy, do ciśnienia panującego w tętnicy ramien...

EP ID EP594091
DOI 10.21164/pomjlifesci.573
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