Intussusception: a Rare Complication After Feeding Jejunostomy; a Case Report
Shreyas Dholaria1, Kamal Kishor Lakhera1, Sanjeev Patni1
1Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan India.
Indian Journal of Surgical Oncology
|May 27, 2017
Summary
Feeding jejunostomy (FJ) intussusception is a rare complication causing small bowel obstruction. Early suspicion and imaging are key for diagnosis and management of this FJ complication.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Surgery
Background:
- Feeding jejunostomy (FJ) is a standard surgical procedure for providing enteral nutrition.
- Intussusception, a rare complication, can occur following FJ tube placement or removal.
- Symptoms of FJ intussusception can mimic other small bowel obstructions.
Observation:
- A patient presented with intestinal obstruction post-FJ tube removal.
- Radiological imaging confirmed intussusception at the previous FJ site.
- Clinical presentation included upper gastrointestinal obstructive symptoms.
Findings:
- Intussusception was identified as the cause of obstruction at the feeding jejunostomy site.
- Nasogastric tube drainage provided symptomatic relief, aiding in diagnosis.
- Surgical exploration confirmed the intussusception, leading to successful reduction.
Implications:
- Clinicians should consider intussusception in patients with jejunostomy tubes experiencing obstructive symptoms.
- Prompt diagnosis via CT or ultrasonography is crucial.
- Management may involve conservative measures or surgical intervention for FJ intussusception.
