Abstract
Vomiting and delayed gastric emptying are common complications after the Whipple surgery. In our patient, this complaint was related to gastric volvulus. Gastric volvulus is a life-threatening condition characterized by an abnormal rotation of the stomach around an axis. The first line of treatment for this disorder is surgical. We present a 67 years old male patient with a history of pancreatic cancer status after the pylorus-preserving Whipple procedure. The patient presented with nausea and vomiting after surgery. Computed tomography revealed a normal anatomic structure without any abscess or hematoma. In the barium swallow study, partial stenosis in the anastomosis site and delayed stomach emptying was diagnosed. On the 23rd day after the first surgery, we performed a detorsion of the stomach with a gastric volvulus diagnosis. Gastric volvulus could be a complication of pancreatoduodenectomy, and performing gastropexy during the Whipple surgery may prevent this complication. For evaluating treatments, best diagnostic studies, and risk factors, more studies are needed.
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Copyright
© 2016, Jundishapur Journal of Oncology. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.