RESUMO
Weight regain after laparoscopic gastric bypass can be difficult to manage. A common finding is an enlarged gastrojejunal complex (dilated gastric pouch and/or jejunum, dilated gastrojejunal anastomosis). Revision of the gastrojejunal complex can be accomplished by surgical resection, endoscopic plication techniques, or more recently, placement of an adjustable band around the dilated gastric pouch ("band on bypass," BoB). We present an unusual complication of the BoB procedure, in which the band tubing looped around the small bowel causing severe abdominal pain.
Assuntos
Dor Abdominal/etiologia , Migração de Corpo Estranho/complicações , Derivação Gástrica/efeitos adversos , Intestino Delgado , Laparoscopia/efeitos adversos , Dor Abdominal/cirurgia , Adulto , Falha de Equipamento , Feminino , Migração de Corpo Estranho/cirurgia , Derivação Gástrica/instrumentação , Humanos , Mesentério , Obesidade Mórbida/cirurgia , Reoperação , Aderências Teciduais/etiologiaRESUMO
BACKGROUND: Adenosquamous carcinoma of the breast is a rare form of metaplastic breast carcinoma. We report such a case in a 19 years old female. CASE PRESENTATION: Case notes and histopathology were reviewed. Adenosquamous carcinoma was diagnosed on wide local excision and patient underwent skin-sparing mastectomy with Latissimus dorsi flap reconstruction. CONCLUSIONS: Adenosquamous carcinoma of the breast is a rare form of metaplastic breast carcinoma. Data on correct management, follow-up and prognosis are very limited but given the high potential for local recurrence, aggressive surgery may be the only option.
