Proximal jejunal intussusception associated with a long tube

Area of Science:

• Gastroenterology
• Radiology
• Surgical Pathology

Background:

• Intussusception, a telescoping of the intestine, is a known complication associated with long intestinal tubes.
• Typically, this occurs near the mercury-filled bag and is detectable via barium radiography.

Observation:

• This report details the fifth and sixth documented cases of proximal jejunal intussusception occurring with a long tube in situ.
• These proximal cases are challenging to diagnose due to their location.

Findings:

• A specific clinical approach is presented to enable prompt and accurate diagnosis of proximal jejunal intussusception.
• Suspicion should arise if a patient develops significant bilious vomiting and abdominal pain post-intestinal intubation.

Implications:

• Early recognition and diagnosis of proximal jejunal intussusception are crucial for timely intervention.
• This study contributes to understanding rare but serious complications of intestinal intubation, aiding clinical management.