Deep vein thrombosis caused by malignant afferent loop obstructionDeep vein thrombosis caused by malignant afferent loop obstruction
- Other Titles
- Deep vein thrombosis caused by malignant afferent loop obstruction
- Authors
- EunGyu Kang; 김찬; 이정은; Min-uk Cha; 김주훈; Seo-Hwa Park; 김만득; 이도연; 라선영
- Issue Date
- 2016
- Publisher
- 영남대학교 의과대학
- Keywords
- Afferent loop obstruction; Stomach cancer; Venous thrombosis; Interventional radiography
- Citation
- Yeungnam University Journal of Medicine, v.33, no.2, pp.166 - 169
- Journal Title
- Yeungnam University Journal of Medicine
- Volume
- 33
- Number
- 2
- Start Page
- 166
- End Page
- 169
- URI
- https://scholarworks.bwise.kr/hongik/handle/2020.sw.hongik/13621
- DOI
- 10.12701/yujm.2016.33.2.166
- ISSN
- 2384-0293
- Abstract
- Afferent loop obstruction following gastrectomy is a rare but fatal complication. Clinical features of afferent loop obstruction are mainly gastrointestinal symptoms. A 56-year-old female underwent radical total gastrectomy with Roux-en-Y esophagojejunostomy for treatment of advanced gastric cancer. After fourteen months postoperatively, she showed gradual development of edema of both legs. Computed tomography (CT) scan showed disease progression at the jejunojejunostomy site and consequent dilated afferent loop, which resulted in inferior vena cava (IVC) compression. A drainage catheter was placed percutaneously into the afferent loop through the intrahepatic duct and an IVC filter was placed at the suprarenal IVC, and selfexpanding metal stents were inserted into bilateral common iliac veins. With these procedures, sympotms related with afferent loop obstruction and deep vein thrombosis were improved dramatically. The follow-up abdominal CT scan was taken 3 weeks later and revealed the completely decompressed afferent loop and improved IVC patency. Surgical treatment should be considered as the first choice for afferent loop obstruction; however, because it is more immediate and less invasive, non-surgical modalities, such as percutaneous catheter drainage or stent placement, can be effective alternatives for inoperable cases or risky patients who have severe medical comorbidities.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - ETC > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.