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Jejunogastric intussusception
M Hasan1, M M Mahamud, S A Khan
1Department of Surgery, Mymensingh Medical College, Mymensingh, Bangladesh.
Mymensingh Medical Journal : MMJ
|July 23, 2009
Summary
Retrograde jejunogastric intussusception (RJGI) is a rare complication after gastric surgery. Prompt surgical intervention is essential for acute RJGI to prevent mortality.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Retrograde jejunogastric intussusception (RJGI) is a rare complication following gastrectomy or gastrojejunostomy.
- First described in 1914, RJGI presents clinically as acute or chronic, and anatomically in three types.
Observation:
- The acute form of RJGI constitutes a surgical emergency due to the risk of strangulation.
- Typical symptoms include abdominal pain, nausea, vomiting, hematemesis, and an upper abdominal lump.
- A history of gastric surgery aids diagnosis; X-rays and endoscopy can be diagnostic tools.
Findings:
- This report details a case of RJGI presenting with acute abdomen, hematemesis, and an abdominal lump.
- Early diagnosis and prompt surgical intervention are mandatory to avoid mortality in acute RJGI.
Implications:
- RJGI requires immediate surgical management, as no effective medical treatment exists.
- Awareness of this rare entity and its diagnostic features is crucial for timely intervention.
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