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Updated: Dec 10, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Case report of an intussusception presenting after a trauma jejunorrhaphy
Paul K Lee1,2, Antonio Masi1,2, Ethan A Warshowsky1,2
1Kings County Hospital, 451Clarkson Avenue, Brooklyn, N.Y, 11203, USA.
Insights
Adult intussusception is often caused by a lesion. This case highlights a rare instance of postoperative intussusception in an adult, where the surgical jejunorrhaphy acted as the lead point, causing bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Trauma Surgery
Background:
- Intussusception in adults typically involves a lead point lesion, unlike idiopathic pediatric cases.
- Common lead points include Meckel's diverticulum, lipomas, adenomas, and metastatic disease.
Introduction:
Intussusception in pediatric cases are predominantly idiopathic, while intussusception in adult cases are predominantly associated with a lesion. The differential diagnosis for the lesion includes Meckel's diverticulum, lipoma, adenoma, and metastatic disease.
Presentation Of Case:
We report a case of intussusception in which the lead point was the site of a jejunorrhaphy for a jejunal perforation secondary to blunt abdominal trauma. The intussusception presented as a postoperative bowel obstruction requiring a re-laparotomy and a segmental bowel resection. The postoperative course after the re-laparotomy was unremarkable.
Discussion:
Postoperative intussusception with a bowel anastomosis acting as the lead point is a rare but described complication of anastomotic procedures. Our report is the first in the trauma literature to describe an intussusception led by a jejunorrhaphy rather than a circumferential suture or stapled anastomosis. While rare, this complication is a critical constituent in the differential diagnosis of bowel obstruction after laparotomy for trauma. Currently, no standardized technique or prophylactic maneuver exists to prevent intussusception after an intestinal repair.
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