Oclus o duodenal ap車s cirurgia da aorta abdominal: relato de caso Duodenal obstruction following abdominal aortic surgery: case report

作者：Adenauer Marinho de Oliveira Goes Junior; Alexandre Petnys; Edgar Rabboni; Milton Alves das Neves Junior

来源：Jornal Vascular Brasileiro, 2008.

• Oclus o
• duodeno
• cirurgia
• aorta
• Occlusion
• duodenum
• surgery
• aorta

A maior parte dos artigos sobre obstru o duodenal ap車s cirurgia a車rtica cita dados referentes 角s corre es da doen a aneurism芍tica e n o da doen a ateroscler車tica. N o obstante, 谷 consenso que se trata de uma complica o rara, cuja incid那ncia 谷 menor do que 1%. Os autores relatam o caso de um paciente submetido a enxerto aorto-bifemoral que apresentou, como complica o p車s-operat車ria, oclus o duodenal. O paciente foi tratado com reinterven o cir迆rgica e uso de remendo de grande omento para s赤ntese do retroperit nio. A revis o da literatura indica que a maioria dos casos responde bem ao tratamento conservador, e a conduta cir迆rgica normalmente s車 谷 necess芍ria quando ader那ncias s o a causa da obstru o ou quando o tratamento cl赤nico n o 谷 satisfat車rio ap車s 2 semanas. Most articles on duodenal obstruction following aortic surgery report data relative to repairs of aneurysmal disease, not atherosclerotic disease. However, duodenal obstruction is an uncommon complication, occurring in less than 1% of patients. We report a case of a patient submitted to aortobifemoral bypass reconstruction who had duodenal obstruction as postoperative complication. The patient was treated with surgical intervention and omental patching for retroperitoneal synthesis. Literature review indicates that most cases respond well to the conservative treatment, and surgical conduct is usually only required when adherences are causing the obstruction or when clinical treatment is not satisfactory after 2 weeks.