Abstract
Retrograde jejunogastric intussusception is a well-recognised, rare, but potentially fatal long-term complication of gastrojejunostomy or Billroth II reconstruction. Only about 200 cases have been reported in the literature to date. Diagnosis of this condition is difficult in most cases. To avoid mortality, earlydiagnosis and prompt surgical intervention is mandatory. Since gastrojejunostomies with vagotomy are on a declining trend, it is extremely rare to come across such a complication. We report on such a patient who presented with haematemesis.
Highlights
A 60-year-old man was admitted, complaining of abdominal pain after 4 days of coffee-ground vomiting
We considered whether the diagnosis might have been possible by the gastrograffin examination alone
jejunogastric intussusception (JGI) seems to be a rare complication after gastrojejunostomy or Billroth II gastrectomy
Summary
A rare cause of coffee-ground vomiting: Retrograde jejunogastric intussusception. Retrograde jejunogastric intussusception is a well-recognised, rare, but potentially fatal long-term complication of gastrojejunostomy or Billroth II reconstruction. About 200 cases have been reported in the literature to date. Diagnosis of this condition is difficult in most cases. Earlydiagnosis and prompt surgical intervention is mandatory. Since gastrojejunostomies with vagotomy are on a declining trend, it is extremely rare to come across such a complication. We report on such a patient who presented with haematemesis.
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