Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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CASE REPORT

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Volume 22

October - December 2006

Number 4


 

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Laparoscopic Management of Perforation of a
Marginal Ulcer Following Anterior Gastrojejunostomy

Muthukumaran Rangarajan1, Chinnusamy Palanivelu2,
Madhupalayam Velusamy3, Rangasamy Senthilkumar4

ABSTRACT

Marginal ulcer is a well-known complication following gastrojejunostomy, especially if vagotomy is not done or is incomplete and in anterior gastrojejunostomies. We report a case of marginal ulcer perforation in a 45-year old male who presented with peritonitis and a history of undergoing surgery for peptic ulcer disease 20 years back. Diagnostic laparoscopy revealed extensive soiling and a 1.5cm perforation on the efferent loop of an anterior gastrojejunostomy. Laparoscopic closure was done. There are only few reports of similar conditions published in the literature. With experience, it is feasible to use laparoscopy for the management of uncommon acute conditions like this one.

KEY WORDS: Marginal ulcer, Perforation, Efferent loop, Laparoscopy.

Pak J Med Sci October - December 2006 Vol. 22 No. 4 474-476


1. Dr. Muthukumaran Rangarajan,
Registrar in Surgical Gastroenterology

2. Dr. Chinnusamy Palanivelu,
Director

3. Dr. Madhupalayam Velusamy Madankumar,
Registrar in Surgical Gastroenterology

4. Dr. Rangasamy Senthilkumar
Registrar in Surgical Gastroenterology

1-4: GEM Hospital, 45-A,
Pankaja Mill Road,
Ramnathapuram,
Coimbatore – 641045,
INDIA.

Correspondence:
Dr. Muthukumaran Rangarajan
E-Mail: rangy68@gmail.com

* Received for Publication: March 25, 2006

* Accepted: May 25, 2006


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