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https://t.me/med1917
Contents
36 Case on Complications After ERCP and Sphincterotomy . . . . . . . 193
Miguel A. Cuesta
37 Case on Lost Stones in Abdomen After Laparoscopic
Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Miguel A. Cuesta
38 Case on Late Stenosis of Biliodigestive Anastomosis
with Cholangitis (After Laparoscopic Cholecystectomy) . . . . . . . . 205
Miguel A. Cuesta and Chris J.J. Mulder
39 Case on Complication After Surgical Treatment
of a Klatskin Tumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Oliver R.C. Busch and Miguel A. Cuesta
40 Case on Postoperative Bleeding
After Whipple Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Miguel A. Cuesta and Suzanne S. Gisbertz
41 Case on Leakage of the Pancreato-Jejunostomy
After a Whipple Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Suzanne S. Gisbertz
42 Case on Bile Leakage (and Portal Vein Thrombosis)
After Whipple Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Miguel A. Cuesta
43 Case on Bleeding in the Small Remnant of the Head
of the Pancreas After Duodenum Preserving Resection
for Middle Pancreatic Tumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Suzanne S. Gisbertz and Rutger J. Lely
44 Case on Impaction of Enteral (Bezoars) During Enteral
Feeding After Whipple Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Miguel A. Cuesta
45 Case on Gastric Bleeding Caused by a Necrotizing Pancreatitis
with Extensive Pseudocyst Formation . . . . . . . . . . . . . . . . . . . . . . . . 243
Rutger J. Lely and Miguel A. Cuesta
46 Case on Necrotizing Acute Pancreatitis: “Infection Is Not Found
But Patient Is Becoming Worse” . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Marc Besselink
47 Case on Pseudocyst of the Pancreas, Endoscopically
or Surgical Treatment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Suzanne S. Gisbertz and Maarten A.J.M. Jacobs
48 Case on Pancreatic Pseudocyst Far from the Stomach . . . . . . . . . . 257
Mariëlle L.A.W. Vehmeijer-Heeman
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49 Case on Intra-abdominal Bleeding with Shock as
Consequence of Necrotizing Pancreatitis . . . . . . . . . . . . . . . . . . . . . 263
Miguel A. Cuesta
50 Case on Recurrence of Infection After Video-Assisted
Retroperitoneal Debridement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267
Marc Besselink
51 Case on Splenic and Portal Vein Thrombosis
After Splenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
Miguel A. Cuesta and H. Jaap Bonjer
52 Case on Rebleeding After Initial Coiling
of Spleen Trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Rutger J. Lely and Miguel A. Cuesta
53 Case on Adrenal Insuffi ciency (Addison Syndrome), After
Removal of an Adenocarcinoma of the Adrenal Gland . . . . . . . . . . 283
Miguel A. Cuesta and H. Jaap Bonjer
54 Case on Leakage After Left Pancreatic Resection . . . . . . . . . . . . . . 287
Joris J.G. Scheepers
55 Case on Postoperative Shock After
Laparoscopic Appendicectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Joris J.G. Scheepers
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56 Case on Postoperative Abscess After Appendicectomy . . . . . . . . . . 295
Suzanne S. Gisbertz
57 Case on Carcinoid Discovered in the Appendix . . . . . . . . . . . . . . . . 299
Miguel A. Cuesta and Maria Conde Rodriguez
58 Case on Complications After Conservatively Treated
Appendicular Phlegmon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Miguel A. Cuesta
59 Case on Anastomotic Leakage Following
Small Bowel Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Cornelius G. Niels Vos
60 Case on Recurrence of Crohn’s Disease . . . . . . . . . . . . . . . . . . . . . . 315
Adriaan A. van Bodegraven
61 Case on Short Bowel Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 323
Adriaan A. van Bodegraven
62 Case on Recurrence of Intestinal Obstruction
Because of Adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329
Miguel A. Cuesta and Rebecca P.M. Brosens
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Contents
63 Case on Inadvertent Small Bowel Lesion During
Laparoscopic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 335
Laura Gonzalez Sanchez
64 Case on Small Bowel Ischemia During Neoadjuvant
Chemotherapy for Gastroesophageal Junction Cancer . . . . . . . . . 341
Miguel A. Cuesta and Donald L. van der Peet
65 Case on Complications of Intestinal Malrotation . . . . . . . . . . . . . . 345
Miguel A. Cuesta
66 Case on Leakage After Right Hemicolectomy . . . . . . . . . . . . . . . . . 351
Nike M. Hanneman
67 Case on Anastomotic Rotation After Laparoscopic Right
Hemicolectomy for Colonic Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . 355
Bastiaan R. Klarenbeek
68 Case on Leakage After Ileocecal Resection
for Crohn’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361
Hugo W. Nijhof
69 Case on Leakage After Ileoanal Pouch Anastomosis . . . . . . . . . . . . 365
Miguel A. Cuesta
70 Case on Leakage After Sigmoid Resection . . . . . . . . . . . . . . . . . . . . 371
Hugo W. Nijhof and Miguel A. Cuesta
71 Case on Leakage After LAR and Coloanal Anastomosis . . . . . . . . 377
Hugo W. Nijhof
72 Case on Presacral Abscess and Sinuses After LAR . . . . . . . . . . . . . 385
Alexander A.F.A. Veenhof
73 Case on Stenosis After Low Anterior Resection . . . . . . . . . . . . . . . 391
Miguel A. Cuesta and Hugo W. Nijhof
74 Case on Problems After Coloanal Anastomosis (Stenosis
Coloanal Anastomosis and Frequent Stools and Soiling) . . . . . . . . 401
Miguel A. Cuesta
75 Case on Ureter Lesion During Low Anterior Resection . . . . . . . . . 407
Miguel A. Cuesta
76 Case on Late Ileoanal Pouch Anastomosis Fisteling
(Vaginal and Perineal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415
Miguel A. Cuesta
77 Case on Anorectal Adenocarcinoma in a
Colorectal Crohn’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421
Miguel A. Cuesta and Henri A.H. Winters
78 Case on Recto-Vaginal Fistula After LAR . . . . . . . . . . . . . . . . . . . . 427
Cristina Mendez and Miguel A. Cuesta
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79 Case on Rectovesical Fistula After LAR . . . . . . . . . . . . . . . . . . . . . . 433
Miguel A. Cuesta and R. Jeroen van Moorselaar
80 Case on Perineal Problems After APR . . . . . . . . . . . . . . . . . . . . . . . 439
Miguel A. Cuesta, Alexander A.F.A. Veenhof,
and Juan de Dios Franco
81 Case on Recurrence After TME Because of Rectal Cancer . . . . . . 447
Suzanne S. Gisbertz and Miguel A. Cuesta
82 Case on Complication After Laparoscopic Abdominal
Lavage Because of Perforated Diverticulitis . . . . . . . . . . . . . . . . . . . 455
Teresa Sanchez Rodriguez
83 Case on Anastomotic Leakage After Taken Down
Hartmann Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 459
Niels de Korte
84 Case on Complication After Sacrocolpopexy . . . . . . . . . . . . . . . . . . 463
Chan Yuan
85 Case on Ischemia–Necrosis of the Sigmoid After Repair
of a Ruptured Juxtarenal Aneurysm. . . . . . . . . . . . . . . . . . . . . . . . . 467
Jorg de Bruin
86 Case on Complications and Approach in
Post-radiation Enteritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 471
Suzanne S. Gisbertz
87 Case on Complications Following Cytoreductive
Surgery and Heated Intraperitoneal Chemotherapy . . . . . . . . . . . 479
Elisabeth A. te Velde and Victor J. Verwaal
88 Case on Postoperative Bleeding of a Colorectal Anastomosis . . . . 483
Miguel A. Cuesta
89 Case on Laparoscopic Approach of Anastomotic Leakage
After Laparoscopic Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
Willem A. Bemelman
90 Case on Leakage Distal Anastomosis After Low Anterior
Resection with Protective Ileostomy . . . . . . . . . . . . . . . . . . . . . . . . . 491
Marta Gutierrez Moreno, Jurriaan B. Tuynman,
and Miguel A. Cuesta
91 Case on Leakage Distal Anastomosis After Low Anterior
Resection (LAR) Without Protective Ileostomy . . . . . . . . . . . . . . . . 497
Marta Gutierrez Moreno, Jurriaan B. Tuynman,
and Miguel A. Cuesta
92 Case on Complications of Ileostomy . . . . . . . . . . . . . . . . . . . . . . . . . 501
Miguel A. Cuesta
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Contents
93 Case on Necrosis of Colostomy. Retraction and Stenosis . . . . . . . . 507
Ramon Gorter
94 Case on Parastomal Hernia Complications . . . . . . . . . . . . . . . . . . . 513
Birgitta M.E. Hansson
95 Case on Severe Complication After PPH
Procedure for Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517
Michael F. Gerhards and Jan Peringa
96 Case on Complex Recurrent Fistula-in-Ano . . . . . . . . . . . . . . . . . . 523
Sonsoles Martinez Lopez and Miguel A. Cuesta
97 Case on Fecal Incontinence After Delivery . . . . . . . . . . . . . . . . . . . . 529
Miguel A. Cuesta
98 Case on Rectovaginal Fistula Following Delivery . . . . . . . . . . . . . . 533
Suzanne S. Gisbertz
99 Case on Dehiscence/Evisceration of the Abdominal
Wall After Laparotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 539
Maria Dolores Casado, Gianluca Sciannamea, María Socas,
and Salvador Morales-Conde
100 Case on Recurrence of Incisional Hernia After Large
Hernia Repair Using (Low-Weight) Polypropylene Mesh. . . . . . . . 545
María Socas, Salvador Morales-Conde, María Sánchez Ramírez,
and Antonio Barranco
101 Case on Abdominal Compartment Syndrome . . . . . . . . . . . . . . . . . 551
Antonio Barranco, Carlos Bernardos, María Socas,
and Salvador Morales-Conde
102 Case on Enterocutaneous Fistula Through
Previous Laparotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555
María Socas, Salvador Morales-Conde, and Isaias Alarcón
103 Case on Care and Closure of Open Abdomen Approach . . . . . . . . 559
Miguel A. Cuesta and Jurriaan B. Tuynman
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565
List of Contributors
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Isaias Alarcón Department of Surgery, Virgen del Rocio Hospital , Sevilla , Spain
Antonio Barranco Department of Surgery, Virgen del Rocio Hospital ,
Sevilla , Spain
Willem A. Bemelman , M.D., Ph.D. Department of Surgery , Academic Medical
Center , Amsterdam , The Netherlands
Frits J. Berends , M.D. Department of Surgery , Rijnstate , Arnhem , The Netherlands
Mark I. van Berge Henegouwen Department of Surgery , Academic Medical
Center , Amsterdam , The Netherlands
Carlos Bernardos Department of Surgery, Virgen del Rocio Hospital ,
Sevilla , Spain
Marc Besselink , M.D., Ph.D. Department of Surgery , Academic Medical Center ,
Amsterdam , The Netherlands
Surya S.A.Y. Biere , M.D. Department of Surgery , VU University Medical
Center , Amsterdam , The Netherlands
Adriaan A. van Bodegraven Department of Gastroenterology , VU University
Medical Center , Amsterdam , The Netherlands
H. Jaap Bonjer , M.D., Ph.D., F.R.C.S.C. Department of Surgery ,
VU University Medical Center , Amsterdam , The Netherlands
Klaske A.C. Booij
Amsterdam , The Netherlands
Jorg de Bruin , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Oliver R.C. Busch , M.D., Ph.D. Department of Surgery , Academic Medical
Center , Amsterdam , The Netherlands
Department of Surgery , Academic Medical Center ,
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Rebecca P.M. Brosens Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Maria Dolores Casado , M.D. Department of Surgery, Virgen del Rocio Hospital ,
Sevilla , Spain
Miguel A. Cuesta , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Gwen M.P. Diepenhorst , M.D. Department of Surgery , VU University Medical
Center , Amsterdam , The Netherlands
Juan de Dios Franco Department of Surgery , Hospital de Jerez , Cadiz , Spain
Michael F. Gerhards , M.D. Department of Surgery , OLVG Hospital ,
Amsterdam , The Netherlands
Suzanne S. Gisbertz , M.D. Department of Surgery , Academic Medical Center,
Amsterdam , The Netherlands
Ramon Gorter , M.D. Pediatric Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Dirk J. Gouma Department of Surgery , Academic Medical Center , Amsterdam ,
The Netherlands
Thomas M. van Gulik Department of Surgery , Academic Medical Center ,
Amsterdam , The Netherlands
List of Contributors
Nike M. Hanneman , M.D. Department of Surgery , Medisch Centrum , Alkmaar ,
The Netherlands
Birgitta M.E. Hansson , M.D. Department of Surgery , Canisius Hospital ,
Nijmegen , The Netherlands
Koen Hartemink , M.D. Intensive Care, Department of Surgery , VU University
Medical Center , Amsterdam , The Netherlands
Anthony J. Healey , M.D.
Maarten A.J.M. Jacobs Department of Gastroenterology , VU University
Medical Center , Amsterdam , The Netherlands
Ignace M.C. Janssen , M.D. Department of Surgery , Rijnstate , Arnhem ,
The Netherlands
Wenceslao Vasquez Jimenez , M.D., Ph.D. Department of Surgery , Gregorio
Marañon Hospital , Madrid , Spain
Geert Kazemier , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Bastiaan R. Klarenbeek Department of Surgery , MC Leeuwarden , Leeuwarden ,
The Netherlands
Department of Surgery , St Mark’s Hospital , London , UK
List of Contributors
https://t.me/med1917
Niels de Korte , M.D. Department of Surgery , Spaarne Hospital , Hoofddorp ,
The Netherlands
Rutger J. Lely , M.D. Department of Radiology , VU University Medical Center ,
Amsterdam , The Netherlands
Kirsten Maas , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Jack L. Martin Department of Surgery , St Mark’s Hospital , London , UK
Sonsoles Martinez Lopez , M.D. Department of Surgery , Gregorio Marañon
Hospital , Madrid , Spain
Cristina Mendez , M.D. Department of Surgery , Virgen del Rocio , Sevilla , Spain
Akash M. Metha , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
xvii
Herold J. Metselaar
Rotterdam , The Netherlands
Salvador Morales-Conde , M.D.
Hospital , Sevilla , Spain
R. Jeroen van Moorselaar Department of Urology , VU University Medical
Center , Amsterdam , The Netherlands
Marta Gutierrez Moreno , M.D. Department of Surgery , Virgen del Rocio ,
Sevilla , Spain
Chris J.J. Mulder Department of Gastroenterology , VU University Medical
Center , Amsterdam , The Netherlands
Francisco Nevárez Noboa , M.D. Department of Surgery , Hospital del Sureste ,
Madrid , Spain
Hugo W. Nijhof , M.D. Department of Surgery , Kennemer Gasthuis , Haarlem ,
The Netherlands
J. Wolter Oosterhuis
Amsterdam , The Netherlands
Donald L. van der Peet Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Jan Peringa , M.D. Radiology , OLVG Hospital ,
Amsterdam , The Netherlands
Department of Gastroenterology , Erasmus Medical Center ,
Department of Surgery , Virgen del Rocio
Department of Surgery , VU University Medical Center ,
Marijn Poelman , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Alfredo Alonso Poza , M.D., Ph.D. Department of Surgery , Hospital del Sureste ,
Madrid , Spain
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Jelle P. Ruurda Department of Surgery , University MC , Utrecht ,
The Netherlands
Jose L. Garcia Sabrido , M.D. Department of Surgery , Gregorio Marañon
Hospital , Madrid , Spain
Laura Gonzalez Sanchez , M.D. Department of Surgery , Hospital J. Negrin ,
Tenerife , Spain
María Sánchez Ramírez Department of Surgery, Virgen del Rocio, Sevilla, Spain
Teresa Sanchez Rodriguez , M.D. Department of Surgery , Virgen del Rocio ,
Sevilla , Spain
Maria Conde Rodriguez Department of Surgery , Hospital Clinico , Universidad
de Madrid , Spain
Joris J.G. Scheepers , M.D. Department of Surgery , Ranier de Graaf Hospital ,
Delft , The Netherlands
Gianluca Sciannamea , M.D. Department of Surgery, Virgen del Rocio Hospital ,
Sevilla , Spain
María Socas , M.D. Department of Surgery , Virgen del Rocio Hospital , Sevilla ,
Spain
Manon C.W. Spaander Department of Gastroenterology , Erasmus MC ,
Rotterdam , The Netherlands
List of Contributors
Jurriaan B. Tuynman Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Alexander A.F.A. Veenhof , M.D. Department of Surgery , VU University
Medical Center , Amsterdam , The Netherlands
Mariëlle L.A.W. Vehmeijer-Heeman , M.D. Department of Surgery , VU
University Medical Center , Amsterdam , The Netherlands
Elisabeth A. te Velde
Amsterdam , The Netherlands
Victor J. Verwaal Department of Surgery , Antoni v Leeuwenhoek Hospital ,
Amsterdam , The Netherlands
Cornelius G. Niels Vos , M.D. Department of Surgery , VU University Medical
Center , Amsterdam , The Netherlands
Bas P.L. Wijnhoven , M.D. Department of Surgery , Erasmus MC , Rotterdam ,
The Netherlands
Henri A.H. Winters Department Plastic Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Chan Yuan , M.D. Department of Surgery , VU University Medical Center ,
Amsterdam , The Netherlands
Department of Surgery , VU University Medical Center ,
Chapter 1
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Case on Suspicion of an Anastomotic Problem
After Esophageal Resection for Cancer
Surya S. A. Y. Biere
Keywords Postoperative • Complications • Anastomotic leakage • Esophageal
resection
Diagnosis and Indication for Surgery
A 60-year-old male was evaluated for dysphagia of 3 months duration and was
consequently diagnosed for having an adenocarcinoma of the distal oesophagus.
Endosonography, CT scan of thorax and abdomen, and PET-CT staged this
carcinoma as cT3N1M0. The patient had initially been treated by neoadjuvant
chemoradiotherapy. Six weeks later he underwent an Ivor Lewis two-fi eld
lymphadenectomy esophageal resection.
Postoperative Course: Identifi cation
and Treatment of the Complication
On the 6th postoperative day, he developed fever and dyspnoea and became
respiratorily insuffi cient requiring intubation and mechanical ventilation. A CT
scan of the thorax and abdomen revealed an anastomotic leakage with a thoracic
empyema (Fig. 1.1 ). A re-thoracotomy was performed, showing a mediastinitis, and
an empyema as a consequence of a leakage of one-third of the circumference of the
S. S. A. Y. Biere , M.D.
Department of Surgery , VU University Medical Center , Amsterdam , The Netherlands
e-mail: s.biere@vumc.nl
M.A. Cuesta, H.J. Bonjer (eds.), Case Studies of Postoperative Complications
after Digestive Surgery, DOI 10.1007/978-3-319-01613-9_1,
© Springer International Publishing Switzerland 2014
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