Intussusception into the enteroanastomosis after Billroth II gastric resection; diagnosed by gastroscopy.

Author: Woo Ick JANG ¹ ; Nam Dong KIM ; Sun Woo BAE ; Won Tsen KIM ; Sang Ok KWON ; Kwang Soo YOON ; Soo Yong KIM
Author Information

1. Department of Internal Medicine and General Surgery, Wonju Medical College, Yonsei University, Korea.
Publication Type:Case Reports
Keywords: Intussusception; Hematemesis; Fiberoptic-gastroscopy
MeSH: Humans; Intussusception/*etiology/pathology/surgery; Jejunal Diseases/*etiology/pathology/surgery; Male; Middle Aged; Postoperative Complications/*pathology; Stomach/*surgery
From:Journal of Korean Medical Science 1989;4(1):51-54
CountryRepublic of Korea
Language:English
Abstract: A case of retrograde intussusception (acute type) of efferent limb into Braun side-to-side jejuno-jejunal anastomosis is presented. Intussusception, though infrequent, is well recognized complication after gastric surgery. Patient was 50 year old man who was admitted with epigastric pain and abdominal mass for 6 hours. Patient had a history of total gastrectomy 2 years before admission due to stage II gastric cancer. Seven hours after admission, hematemesis developed. Emergency fiberopticgastroscopy revealed type 4 jejunogastric intussusception. Segmental resection with end-to-end reanastomosis was performed.