Retrograde jejunogastric intussusception in a patient with underlying history of gastrojejunostomy 20 years ago: Case report and literature review

Authors

DOI:

https://doi.org/10.22516/25007440.704

Keywords:

Jejunogastric intussusception, Post operatory complication of gastrectomy, retrograde jejunogastric intussusception, Invagination, Gastric surgery

Abstract

Retrograde jejunogastric intussusception is a rare but potentially fatal complication, according to the time of diagnosis and intervention. Due to its low incidence, a high diagnostic suspicion is required, based on the clinical and surgical history. This study presents the case of a patient of 74 years old with a history of gastrojejunostomy and duodenal cerclage performed as part of duodenal ulcer treatment 20 years ago. The patient was admitted to the emergency unit, after 7 days of having symptoms such as pain, intolerance to oral intake, and hematemesis. Diagnosis was performed by upper digestive tract endoscopy and the final treatment by subtotal gastrectomy and transmesocolic Roux-en-Y reconstruction by laparotomy.

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Author Biographies

Rolando Medina Rojas, Hospital Universitario Hernando Moncaleano Perdomo

Cirujano general, cirujano de trauma y emergencias. Neiva, Colombia.

Yesid Quintero Pérez, Universidad Surcolombiana

Residente de cirugía general. Neiva, Colombia

References

Loi CM, Huang SY, Chen YD, Chen SD, Wu JM, Chen KH. Retrograde jejunogastric intussusception: A case report and review of the literature. Asian J Surg. 2017;40(4):309-312. https://doi.org/10.1016/j.asjsur.2014.04.001

Reyelt WP Jr, Anderson AA. Retrograde jejunogastric intussusception. Surg Gynecol Obstet. 1964;119:1305-11.

Archimandritis AJ, Hatzopoulos N, Hatzinikolaou P, Sougioultzis S, Kourtesas D, Papastratis G, Tzivras M. Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature. BMC Gastroenterol. 2001;1:1. https://doi.org/10.1186/1471-230x-1-1

Hui GC, Gerstle JT, Weinstein M, Connolly B. Small-bowel intussusception around a gastrojejunostomy tube resulting in ischemic necrosis of the intestine. Pediatr Radiol. 2004;34(11):916-8. https://doi.org/10.1007/s00247-004-1230-8

Ravirajendran S, Munnamgi S, Abdul A. Antegrade jejunojejunal intussusception inside a retrograde jejunogastric intussusception (double intussusception)-A rare case report. Int J Surg Case Rep. 2017;39:264-266. https://doi.org/10.1016/j.ijscr.2017.08.036

Tokue H, Tsushima Y, Arai Y, Endo K. Jejunogastric intussusception: life-threatening complication occuring 55 years after gastrojejunostomy. Intern Med. 2009;48(18):1657-60. https://doi.org/10.2169/internalmedicine.48.2115

Gopalakrishnan R, Ravikumar NG, Veerasamy M. Retrograde jejunogastric intussusception: A case report and review of literature. Arch Int Surg. 2014;4(1):47-9. https://doi.org/10.4103/2278-9596.136715

Tabla 1. Clasificación anatómica

Published

2021-10-01

How to Cite

Medina Rojas, R. ., & Quintero Pérez, Y. (2021). Retrograde jejunogastric intussusception in a patient with underlying history of gastrojejunostomy 20 years ago: Case report and literature review. Revista Colombiana De Gastroenterología, 36(4), 529–531. https://doi.org/10.22516/25007440.704

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