1) However, the free end of the appendix can occupy a variety of positions in relation to the small and large bowel: anterior, medial, lateral, inferior, superior, superiorlateral and retrocolic
Biopsy was taken from growth and peritoneal seedlings, following which retrocolic
gastro-jejunostomy and side to side jejuno-jejunostomy were done.
Table 5) All of them underwent surgical correction with side-to-side retrocolic
isoperistaltic gastrojejunostomy and bilateral truncal vagotomy.
In the first 107 patients, surgeons performed a retrocolic
technique without defect closure.
The jejunum is then divided approximately 30 to 50 cm beyond the ligament of Treitz, and the distal segment of jejunum (alimentary limb) is brought up in either an antecolic (most common nowadays) or retrocolic fashion and reattached to the small gastric pouch (gastrojejunostomy).
Internal hernias seem to occur more frequently if the alimentary limb was connected to the gastric pouch using a retrocolic route instead of an antecolic route.
Since there was no evidence of vasculitis, we believe the most li kely sequence of events is that malacoplakia developed in the patient's right retrocolic
area and in the left tube and ovarian areas that resulted in fistulas and abscess formation, as well as perforation of the colon.
The anastomosed jejunal loop, called the Roux limb, is placed retrocolic
through an aperture formed in, or in front of, the transverse mesocolon.