Retrograde Jejunogastric Intussusception: A Rare Complication of Gastric Surgery.
- Author:
Won Geun KANG
1
;
Do Kyung LEE
;
Byung Wook RHEE
;
Kyung Hyun CHOI
Author Information
1. Department of Surgery, College of Medicine, Kosin University, Busan, Korea. bwrhee@ns.kosinmed.or.kr
- Publication Type:Case Report
- Keywords:
Gastrectomy;
Jejunogastric intussusception;
Billroth II anastomosis
- MeSH:
Abdomen;
Emergencies;
Female;
Gastrectomy;
Gastroenterostomy;
Hematemesis;
Humans;
Ileus;
Intussusception*;
Jejunum;
Middle Aged;
Stomach Neoplasms;
Vital Signs;
Vomiting
- From:Journal of the Korean Surgical Society
2002;62(6):508-511
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Retrograde jejunogastric intussusception is a rare complication of gastric surgery. We report a case of retrograde jejunogastric intussusception that developed after a gastric resection. The patient was a 62 years old female patient who complained severe epigastric pain, vomiting and hematemesis. She had a gastric resection and Billroth II anastomosis performed using the Braun procedure 6 months prior because of early gastric cancer. At the time of admission, the plain abdomen revealed an ileus change, but the vital signs and symptoms had worsened. An emergency operation was therefore performed and a strangulated retrograde jejunogastric intussusception of efferent loop was discovered. Surgical management consisted of a segmental resection of the jejunum. It is recommended that treatment be done as early as possible in order to prevent a strangulation of the invaginated segment. This case illustrates the rare complications of a type 2b retrograde jejunogastric intussusception that developed more than 6 months after a gastric resection and a Billroth II anastomosis using the Braun procedure.
