Abstract

We report a case of jejuno-jejunal intussusception having feeding jejunostomy for post-corrosive pyloric stricture causing gastric outlet obstruction in a four year old male child. The child was admitted to our hospital with complaints of sudden onset of abdominal pain and distension over epigastrium and left hypochondrium. The pain was intermittent and spasmodic in nature. Intussusception as target sign was seen with jejunostomy tube on abdominal ultrasonography. Intra-operative finding was antegrade jejuno-jejunal intussusception upon feeding jejunostomy tube, acting as a lead point. As bowel had necrotic patches and dense adhesions, resection and anastomosis was done in single layer using non-absorbable polypropylene suture. The feeding jejunostomy tube was not removed and kept in place. Post-operative outcome was uneventful.

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