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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2014; 6(9): 187-189
Published online Sep 27, 2014. doi: 10.4240/wjgs.v6.i9.187
Published online Sep 27, 2014. doi: 10.4240/wjgs.v6.i9.187
Retroanastomotic hernia after Moynihan’s gastroenterostomy
Kerem Karaman, Metin Ercan, Fatih Altintoprak, Department of General Surgery, Faculty of Medicine, Sakarya University, Serdivan 54130, Sakarya, Turkey
Omer Yalkin, Hakan Demir, Ismail Zengin, Department of General Surgery, Sakarya Teaching and Research Hospital, Serdivan 54130, Sakarya, Turkey
Author contributions: All the authors contributed equally to this work.
Correspondence to: Kerem Karaman, MD, Department of General Surgery, Faculty of Medicine, Sakarya University, No: 76 Atioglu Sitesi B Blok Kapısı Girisi Daire: 4, Serdivan 54130, Sakarya, Turkey. karaman_kerem@yahoo.com.tr
Telephone: +90-505-4926238
Received: May 25, 2014
Revised: June 24, 2014
Accepted: July 25, 2014
Published online: September 27, 2014
Revised: June 24, 2014
Accepted: July 25, 2014
Published online: September 27, 2014
Abstract
Retroanastomotic hernias after gastroenterostomies-either antecolic or retrocolic-are extremely rare but are associated with high mortality rates due to delayed identification which precludes immediate surgical reduction. In this report, we present a 77-year-old man with retroanastomotic herniation of the efferent loop segments that occurred 14 years after a Moynihan’s gastroenterostomy.
Core tip: Retroanastomotic hernia is a rare but fatal condition. Preoperative diagnosis by ultrasound and/or computerized tomography is difficult and sometimes confusing. Early surgery is the key to decreasing mortality. The use of a short afferent loop and closure of the retroanastomotic space would decrease the incidence of these hernias.