Abstract
BACKGROUND: Jejunogastric intussusceptions are rare. We reviewed three cases presented to us in a span of one month. This study has been conducted to assess the role of ultrasonography and to determine the type of surgery we should perform in such cases. METHODS: Case report and literature review. RESULTS: The cases presented with the classic triad of pain, hematemesis, and upper abdominal mass, with a history of vagotomy and gastrojejunostomy more than a decade ago for gastric ulcer. Ultrasonography was diagnostic in all. The diagnosis was confirmed on laparotomy. All three cases required resection anastomosis, as the bowels were already gangrenous. One case required revision surgery. CONCLUSIONS: Ultrasonography is diagnostic and can save time and resources for out of hour CT/Endoscopy. Early operation is recommended. Reduction of the intussusceptions, viability assessment and if require resection anastomosis with fixation to prevent recurrence are the standards of care.
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