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Jejunogastric intussusception presenting with outlet obstruction.
Mahadev Bapaye1, Sanjay Kolte, Ketan Pai
1Department of General Surgery, K E M Hospital, Pune 411 011. vijaybapaye@vsnl.net
Summary
A rare case of jejunogastric intussusception occurred in a patient with a history of vagotomy and gastrojejunostomy. Surgical intervention successfully resolved the obstruction, restoring normal gastrointestinal function.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Jejunogastric intussusception is a rare complication following gastric surgery, particularly gastrojejunostomy.
- Previous surgery for bleeding duodenal ulcer (vagotomy and gastrojejunostomy) was performed 22 years prior to presentation.
Observation:
- A 77-year-old male presented with acute epigastric pain and bilious vomiting after a meal.
- Barium meal study indicated a likely diagnosis of jejunogastric intussusception.
Findings:
- Laparotomy confirmed a retrograde type II jejunogastric intussusception.
- Management involved reduction of the intussusception, division of the gastrojejunostomy, and jejunal resection.
Implications:
- This case highlights the potential for delayed complications after gastric bypass procedures.
- Successful surgical management can lead to favorable outcomes in jejunogastric intussusception.