Abstract
Jejunogastric intussusception is a rare complication of gastric surgery. It usually presents with severe epigastric pain, vomiting, and hematemesis. A history of gastric surgery can help in making an accurate and early diagnosis which calls forth an urgent surgical intervention. Only reduction or resection with revision of the previously performed anastomosis is the choice which is decided according to the operative findings. We present a case of JGI in a patient with a history of Billroth II operation diagnosed by computed tomography. At emergent laparotomy, an efferent loop type JGI was found. Due to necrosis, resection of the intussuscepted bowel with Roux-en-Y anastomosis was performed. Postoperative recovery was uneventful.
Highlights
Jejunogastric intussusception (JGI) is a rare complication of gastrectomy with an incidence of 0.1% [1]
We aim to report a case of JGI with regard to its presentation, diagnosis, and surgical treatment
Jejunogastric intussusception is a rare complication of gastrojejunostomy, Billroth II gastrectomy, and Roux-en-Y anastomosis
Summary
Jejunogastric intussusception (JGI) is a rare complication of gastrectomy with an incidence of 0.1% [1]. It is thought that it can occur any time after several types of the gastric operations including gastrojejunostomy and Billroth II resection [2,3,4]. A mortality rate of 10% and even as high as of 50% has been reported if surgical intervention has been delayed [5, 6], early diagnosis of this condition is mandatory. A history of gastric surgery may help in making such a diagnosis, preoperative awareness of this condition has been reported to be difficult in most of the cases. We aim to report a case of JGI with regard to its presentation, diagnosis, and surgical treatment
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