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April 1958

Blind-Pouch Formation Following Lateral Anastomosis

Author Affiliations

Kansas City, Mo.
From the Department of Surgery, Menorah Medical Center.

AMA Arch Surg. 1958;76(4):536-541. doi:10.1001/archsurg.1958.01280220056011

Side-to-side anastomosis is an expedient method for reestablishing intestinal continuity after resection. However, this procedure may be followed by a unique complication, which does not occur after the end-to-end or end-to-side technique. Infrequently, saccular dilatation develops in the portion of the proximal segment of intestine that projects beyond the anastomotic stoma. This is not necessarily due to leaving in an excessively long blind end. A closed section no longer than an inch beyond the stoma may develop into a large dilatation. This complication is illustrated in the first case reported.

Report of Cases 

Case 1.  —A 63-year-old white man was admitted to the hospital on July 18, 1956. Apparently in good health, he suddenly fainted after eating his dinner. When he became conscious, he vomited bile-stained food, and brownish-red blood was found oozing from the rectum. His skin was moist and cold. Oral temperature 98 F; pulse 64 per minute;

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