Case Of Retrograde Intussusception Research Articles

A Case of Retrograde Intussusception at the Roex-en-Y Anastomosis after Laparoscopic Total Gastrectomy

A Case of Retrograde Intussusception at the Roex-en-Y Anastomosis after Laparoscopic Total Gastrectomy

The diagnosis and treatment of retrograde intussusception: a single-centre experience

Background/PurposeTo investigate the clinical manifestations, treatments of retrograde intussusception and summarize the experience.MethodsChildren with retrograde intussusception treated in our hospital from January 2011 to January 2021 were retrospectively analysed. Demographics, clinical manifestations, preoperative colour Doppler ultrasound (CDU) findings, findings during surgery and follow-up results were collected.ResultsA total of 4719 cases of intussusception were treated in our department, including 12 cases of retrograde intussusception (0.25%). There were 8 males and 4 females.The age ranged from 4.1 to 14.3 months, with an average of (8.3 ± 2.8) months.; The weight ranged from 5.5 to 12.6 kg, with an average of (9.4 ± 2.3) kg; The onset time ranged from 6 to 15 h, with an average of (10.0 ± 2.4) h. All the children received CDU examination before surgery, and in one case, the possibility of 2 intussusception masses was considered. Emergency surgical exploration was performed after the failure of air enema reduction. During the operation, multiple types of intussusception were found (coincidence of anterograde and retrograde intussusception). The pattern of anterograde intussusception was all ileo-ileo-colic variety and the retrograde intussusception was proximal sigmoid colon into descending colon. All the children were successfully reduced by manual reduction without intestinal necrosis or intestinal malformation. All children were discharged 6–7 days after surgery, and had no recurrence after 3–6 months of follow-up.ConclusionsRetrograde intussusception is easily misdiagnosed before surgery. During air enema, if the intussusception mass was fixed and did not move with increasing pressure, we should be aware of the possibility of retrograde intussusception, and the enema pressure should not be too large to avoid intestinal perforation. If the intraoperative position of the intussusception mass was not consistent with that of the preoperative enema, it was recommended to use bimanual examination to explore whether there was still a mass in the abdominal cavity to avoid misdiagnosis.

A Case of Retrograde Intussusception after Total Gastrectomy with Roux-en-Y Reconstruction

症例は70歳，男性で，胃癌（M，Less，Type3，92×78mm，tub2>tub1，pT3N2（6/78）M0 Stage ⅢA）に対して開腹胃全摘術，D2郭清，Roux-en-Y再建（結腸前経路）を施行した．術後補助化学療法を施行したが，門脈背側のリンパ節転移再発を認めたため外来にて化学療法を施行中であった．術後１年６カ月目に上腹部痛と嘔吐と下痢を主訴に当院に救急搬送され，腹部CTにて腸閉塞と診断し緊急手術を施行した．開腹観察時，Y脚の吻合部肛門側の空腸がTreitz靭帯方向へ逆蠕動性に重積しており，Treitz靭帯からY脚部までの空腸は色調変化を認めていた．重積は容易に整復可能であり，整復後は腸管の色調の改善を認めたため，腸管切除は施行しなかった．術後経過は良好であり，術後15日目に退院した．

A Case of Retrograde Intussusception at a Roux-en Y Anastomosis after Proximal Gastrectomy with Double-tract Reconstruction

A Case of Retrograde Intussusception at a Roux-en Y Anastomosis after Proximal Gastrectomy with Double-tract Reconstruction

A case of retrograde intussusception at Roux-en-Y anastomosis 10years after total gastrectomy: review of the literature.

A 63-year-old man, who had undergone total gastrectomy and Roux-en-Y reconstruction for gastric cancer 10 years previously, was admitted to our hospital with complaints of abdominal pain, palpable abdominal tumor, and hematemesis. On admission, the abdominal tenderness was improving and no abdominal tumor was palpable. Mild inflammatory changes and anemia were noted on blood examination. Abdominal computed tomography revealed a tumor with a layered structure in the left abdomen. The patient was diagnosed with intestinal obstruction secondary to intussusception, and surgery was performed. Retrograde intussusception was found at the site of the Y anastomosis. We conducted manual reduction using the Hutchinson procedure. The intestinal color after the reduction was good, and no intestinal resection was required. Postoperative recovery was uneventful, and the patient was discharged 12 days after surgery. Reports of jejunal intussusception after total gastrectomy with Roux-en-Y reconstruction are relatively rare. Here, we report a case of jejunal intussusception after total gastrectomy with Roux-en-Y reconstruction.

幽門側胃切除術後のRoux-en-Y吻合部に発生した逆行性腸重積の1例

幽門側胃切除術後のRoux-en-Y吻合部に発生した逆行性腸重積の1例

A Case of Retrograde Intussusception on the Jejunum-Duodenum in a Patient with Muscular Dystrophy During Enteral Nutrition

A Case of Retrograde Intussusception on the Jejunum-Duodenum in a Patient with Muscular Dystrophy During Enteral Nutrition

進行癌に起因した逆行性腸重積症の1例

進行癌に起因した逆行性腸重積症の1例

成人S状結腸に発生した逆行性腸重積症の1例

成人S状結腸に発生した逆行性腸重積症の1例

S状結腸癌を先進部とした成人逆行性腸重積の1例

S状結腸癌を先進部とした成人逆行性腸重積の1例

空腸残胃重積症の１例

症例は73歳の女性で，16年前に胃癌による幽門側胃切除術の既往歴を有していた．嘔吐を伴う上腹部痛が突然に生じ，近医で腸閉塞を疑われて当科を紹介された．腹部CT検査で胃内に層状構造を呈した腫瘤を，上部消化管内視鏡検査で胃内に蛇腹状の腸管を認め，空腸残胃重積症と診断した．内視鏡的に整復が困難なため手術を施行した．手術所見では横行結腸後経路，BillrothⅡ法で再建されていた．また輸出脚空腸が胃空腸吻合部を介して胃内に嵌入し，腸重積をきたしていた．約30cmにわたり空腸が重積していたが，用手整復にて容易に整復できた．重積していた腸管に腫瘤は触知せず，血流状態も良好であった．空腸残胃重積症は胃切除後の合併症としては稀であるが，術後に腸閉塞症状を示した場合には，本症を念頭に置いて早期診断や早期治療を行う必要がある．

Intussusception in Colorectal Cancer

Adult intussusception is a rare occurrence and, unlike in childhood, is usually associated with an underlying tumor. Although computed tomography (CT) imaging can identify an intussusception and point toward a cause, diagnosis is challenging if it is only intermittent. When an intussusception presents in the context of a known bowel cancer, it is possible to attribute nonspecific abdominal symptoms to the malignant process. Herein, we describe 2 cases of retrograde intussusception caused by cecal tumors that were not identified on preoperative CT scanning, only to be found during surgery. Both patients presented with intermittent severe abdominal pain and weight loss, which is not usually a feature of cecal cancer without metastases. These cases highlight the difficulty of diagnosing intermittent adult intussusception and that atypical abdominal pain might herald an otherwise occult colorectal cancer.

An unusual abdominal mass in an elderly patient

Adult intussusception is rare and is often not included in the differential diagnosis. Patients who have previously undergone some form of gastric bypass procedure are more susceptible. We report a case of retrograde intussusception following a Roux-en-Y gastric bypass in an elderly patient, who presented with an abdominal mass. Her initial provisional diagnosis was bowel obstruction. As the number of bariatric gastric bypass procedures continues to rise, we are likely to see more of this kind of post-operative complication. Hence, it is crucial for surgeons to consider intussusception as a cause of abdominal pain, obstruction or mass in patients who have undergone some form of gastric bypass procedure.

Retrograde Intussusception following Roux-en-Y Gastric Bypass

A case of retrograde intussusception is presented occurring >1 year following a Roux-en-Y gastric bypass (RYGBP). Presentation may be confusing and lead to a serious delay in diagnosis. Review of the literature shows most intussusceptions following RYGBP are retrograde, and most, if not all, appear to originate in the proximal common channel, as ours clearly did. The average excess body weight loss in these patients is much higher than expected, adding evidence that a dysmotility disorder is involved. A hypothesis is presented regarding the mechanism involved in these retrograde intussusceptions.

A case of retrograde intussusception occurring during life

A case of retrograde intussusception occurring during life

Hematemesis: A Rare Cause From Gangrenous Retrograde Jejunogastric Intussusception

A case of retrograde intussusception (acute type) of efferent limb into the stomach through the stoma of gastrojejunostomy (GJ) is rare and life threatening complication. We report a case of intussusception of efferent of GJ with gangrene that occurred in an adult 12 years after truncal vagotomy and posterior GJ. Emergency laparatomy and resection of gangrenous jejunum after reduction was done. Patient had uneventful recovery.

CT appearance of retrograde jejunoduodenogastric intussusception: a rare complication of gastrostomy tubes.

We report the fifth case of retrograde intussusception as a complication of a gastrostomy tube and describe the characteristic features of the first such case to be diagnosed by use of CT

逆行性腸重積症の１例を含む成人腸重積症９例の検討

逆行性腸重積症の１例を含む成人腸重積症９例の検討

RETROGRADE INTUSSUSCEPTION OF JEJUNUM: A COMPLICATION OF GASTRO-ENTEROSTOMY

Although gastro-enterostomy was first performed in 1881, it was not until 1917,1that is, thirty-seven years later, that the first case of retrograde intussusception of the jejunum was described as a complication of this operation. It probably was Baumann's2article in 1919 with its report of two occurrences in the same patient which really aroused interest in the matter, for within three years eight additional cases were reported. Henschen,3in 1927, before the fifty-first congress of German surgeons, presented a most complete summary of the knowledge to that time about ascending invaginations complicating stomach operations, and mentioned nearly every case that had previously been written up. Within the last few years many other instances have been reported until up to the present there are thirty-two cases on record, not counting the one we are about to report. The American literature has been particularly barren in this regard