Retrograde jejunogastric intussusception: A case report and review of literature

Abstract

Retrograde jejunogastric intussusception ( JGI) is a rare but potentially serious complication of gastrectomy or gastrojejunostomy. Only about 200 cases have been reported in the literature. We present a case of retrograde JGI in a 50-year-old female patient with a history of gastrojejunostomy who had increasing abdominal pain and vomiting for 1 week and hematemesis for 1 day. Emergency endoscopy revealed JGI that was confirmed at laparotomy. The gangrenous efferent limb was resected and a partial gastrectomy with Roux-en-Y-gastrojejunostomy was performed. We present this case for its rarity and the diagnosis of retrograde JGI should be kept in mind when the patients have history of gastric surgery. In our case, the patient was treated as recurrent peptic ulcer and she was referred to us only after she had hematemesis. To avoid mortality, early diagnosis and prompt surgical intervention is mandatory.