Journal of Yeungnam Medical Science

Case reports

Intraabdominal abscess mimicking gastric cancer recurrence: a case report: Yong-Eun Park; J Yeungnam Med Sci. 2023;40(4):426-429. Published online February 1, 2023; DOI: https://doi.org/10.12701/jyms.2022.00864

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Abstract PDF: Surgical site infection is a common healthcare-associated infection that rarely occurs several months after surgery. Herein, a case is described in which an abdominal mass lesion was found at a 6-month follow-up visit after gastrectomy was performed for early gastric cancer. Positron emission tomography-computed tomography revealed a 2.5 cm-sized mass with a high maximal standard uptake value (8.32), located above a previous anastomosis site. Locoregional recurrence of gastric cancer was diagnosed by multidisciplinary team discussion, and explorative laparotomy was performed. However, surgical and pathologic findings revealed that the mass was an intraabdominal abscess. In conclusion, differential diagnosis of delayed abscess formation should be considered if the possibility of tumor recurrence is low, especially after early gastric cancer surgery.

Jejunogastric intussusception prone to misdiagnosis as gastric cancer: Yong-Eun Park, Sang-Woon Kim; Yeungnam Univ J Med. 2020;37(3):236-241. Published online April 6, 2020; DOI: https://doi.org/10.12701/yujm.2020.00038

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The authors report a case of a 78-year-old female with a history of gastric surgery 35 years ago. She was initially misdiagnosed as gastric cancer bleeding and underwent an emergency laparotomy under the diagnosis of jejunogastric intussusception (JGI), 23 hours after the onset of symptoms. We also reviewed 116 JGI case reports and analyzed clinical features and outcomes. Compared to the past, diagnosis of JGI is easier with diagnostic examinations such as an endoscopy, computed tomography, and the upper gastrointestinal series. And a good prognosis can be expected with proper fluid resuscitation and surgical reduction, even if the symptoms persist more than 48 hours.

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Jejunogastric intussusception after pancreaticoduodenectomy: a case report
Konosuke Yogo, Masanori Sando, Ryutaro Kobayashi, Genta Yano, Noriaki Ohara, Kiyotaka Kawai, Kenji Takagi, Satoru Kawai, Satoaki Kamiya
Surgical Case Reports.2022;[Epub] CrossRef

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