Jejunojejunal Intussusception

Abstract

A 36-year-old man presented with nausea, vomiting, constipation, and progressively abdominal distention. His medical and surgical histories were insignificant. On arrival, physical examination revealed a distended abdomen with tympanic percussion and tenderness at the right upper quadrant of abdomen. Abdominal radiograph demonstrated dilated bowel loops. Ultrasonography (US) showed several dilated bowel loops and a target lesion, which indicated intussusception (Figure 1, arrow). Computed tomography (CT) of abdomen (Figure 2) disclosed a jejunojejunal intussusception (arrow) with small bowel obstruction. Exploratory laparotomy with segmental resection of the jejunum was performed and a 3 × 3 cm polypoid mass was found within the resected jejunum. Further pathologic examinations of the lesion confirmed the diagnosis of Burkitt's lymphoma. The postoperative course was smooth, and he was discharged later.