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Duodenal-Jejunal Bypass Surgery in Diet-Induced Obese Diabetic Mice

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Jejunojejunal intussusception with internal herniation in the stomach.

Seema Khanna¹, Dinesh Kumar¹, Rahul Khanna¹

¹Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221 005 India.

The Indian Journal of Surgery

|June 4, 2014

Summary

Jejunojejunal intussusception, a rare gastric surgery complication (<0.1%), occurred in an elderly male. Surgical intervention was successful, with an uneventful recovery after resection and anastomosis.

Keywords:

Gastrojejunostomy Intussusception

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Area of Science:

Gastroenterology
Surgical Complications
Abdominal Surgery

Background:

Jejunojejunal intussusception is a rare complication following gastric surgery.
Internal herniation of the stomach through a gastrojejunostomy stoma is exceptionally uncommon, with an incidence below 0.1%.

Purpose of the Study:

To report a rare case of jejunojejunal intussusception with internal herniation of the stomach.
To highlight the diagnostic challenges and successful management of this surgical complication.

Main Methods:

Case presentation of an elderly male with symptoms of intestinal obstruction.
Diagnostic imaging including X-ray, ultrasonography (USG), and contrast-enhanced computed tomography (CECT).
Surgical exploration (laparotomy) followed by resection and anastomosis.

Main Results:

CECT scan confirmed jejunojejunal intussusception and internal herniation of the stomach.
Laparotomy revealed a previous gastrojejunostomy with jejunal invagination causing gangrene.
Resection anastomosis was performed, and the patient had an uneventful postoperative recovery.

Conclusions:

Jejunojejunal intussusception with gastric herniation is a rare but serious complication of gastric surgery.
Prompt diagnosis using advanced imaging (CECT) and timely surgical intervention are crucial for successful outcomes.
This case underscores the importance of considering rare complications in patients with a history of gastric surgery presenting with intestinal obstruction.