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Retrograde jejunogastric intussusception caused by a jejunal polyp
1Department of Gastroenterology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi
|September 1, 1992
Summary
A rare case of jejunogastric intussusception occurred 11 years post-gastrectomy, causing severe upper gastrointestinal symptoms. A small polyp was identified as the cause of this serious complication.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Subtotal gastrectomy is a common procedure for various upper gastrointestinal conditions.
- Post-gastrectomy complications can manifest years after surgery, presenting diagnostic challenges.
Observation:
- A 70-year-old male experienced epigastric pain, vomiting, and upper gastrointestinal bleeding 11 years after a subtotal gastrectomy.
- Diagnostic imaging, including endoscopy and barium meal study, revealed retrograde jejunogastric intussusception.
Findings:
- Laparotomy confirmed the diagnosis of retrograde jejunogastric intussusception.
- A small polyp, located 20 cm distal to the anastomosis, was identified as the leading point causing the intussusception.
Implications:
- This case highlights the importance of considering rare complications like jejunogastric intussusception in patients with a history of gastrectomy presenting with gastrointestinal distress.
- Prompt diagnosis and surgical intervention are crucial for managing this potentially life-threatening condition.