Delayed bleeding from anastomotic site after the stapled functional end-to-end anastomosis for small intestinal reconstruction. A case report.

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  • 小腸の器械吻合部の遅発性出血によりショックとなった１例

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Abstract

A 64-year-old man being monitored for anemia was found on computed tomography to have a tumor in the abdominal cavity. This tumor was diagnosed as a gastrointestinal stromal tumor at laparotomy. Partial jejunal resection was conducted and intestinal reconstruction made by functional end-to-end anastomosis (FEEA) with a linear cutter device. Massive delayed intestinal bleeding occurred on postoperative day (POD) 9, and the patient went into shock on POD 10. Emergent abdominal angiography showed pooling and extravasation near the FEEA site. Emergency laparotomy was done and the jejunum including the FEEA site was partially resected. Bleeding was controlled and no rebleeding occurred in the 1 year since surgery. FEEA site bleeding was diagnosed in postoperative pathological findings.

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