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Small Bowel Intussusception due to Nasojejunal Tube Placement in Neonates: A Case Report
Kazuki Shirane1, Kyoko Mochizuki1, Azusa Sugita2
1Department of Surgery, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.
Surgical Case Reports
|July 23, 2025
Summary
Nasojejunal tube placement can rarely cause small bowel intussusception. Surgical reduction may be necessary even after tube removal, highlighting the need for prompt diagnosis and intervention in such cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Devices
Background:
- Nasojejunal tubes are used for decompression after intestinal surgery.
- Small bowel intussusception is a rare complication of nasojejunal tube placement.
- Ileal atresia repair can be complicated by anastomotic obstruction.
Observation:
- A neonate developed recurrent bilious gastric residuals post-ileal atresia repair.
- Sonography revealed small bowel intussusception associated with the nasojejunal tube.
- Intussusception persisted despite nasojejunal tube removal.
Findings:
- Surgical reduction was required for persistent small bowel intussusception.
- Adhesions between intussuscepted bowel loops were released during surgery.
- The patient recovered uneventfully after surgical intervention.
Implications:
- Early sonographic screening for intussusception is crucial in neonates with bilious vomiting during nasojejunal tube use.
- Prompt nasojejunal tube removal is essential to prevent complications like adhesions.
- Surgical intervention is indicated if intussusception does not resolve spontaneously after tube removal.
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