Objective:

To present a case of afferent loop syndrome (ALS) following pancreaticoduodenectomy due to recurrent pancreatic adenocarcinoma.

Approach:

Key Findings:

• ALS is a rare but serious complication post-Whipple surgery, often due to recurrent malignancy.
• Persistent watery diarrhea can precede acute obstruction, complicating diagnosis.
• Endoscopic decompression with self-expanding metal stents is an effective palliative strategy.

Interpretation:

Limitations:

• The case highlights a single patient experience, limiting generalizability.
• Only a few confirmed ALS cases from pancreatic cancer recurrence have been reported.

Conclusion:

Attribution Notice

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