1.Intussusception Secondary to Jejunal Lymphangioma in a 13-year-old Girl.
Ho Sung PARK ; Ho LEE ; Woo Sung MOON ; Seung Chan LEE ; Woo Bong CHOI ; Hyun Woong CHOI
The Korean Journal of Gastroenterology 2007;49(4):256-259
Lymphangioma is a benign tumor composed of numerous small or large thin-walled lymphatic spaces. It shows a predilection for head, neck, and axilla. Jejunal lymphangioma in children is extremely rare. We present a case of 13-year-old girl with jejuno-jejunal intussusception secondary to lymphangioma in jejunum. To our knowledge, this is the second report of jejunal lymphangioma causing intussusception in a child.
Adolescent
;
Female
;
Humans
;
Intussusception/*etiology/surgery
;
Jejunal Diseases/*etiology/surgery
;
Jejunal Neoplasms/*complications/*diagnosis/pathology
;
Lymphangioma/*complications/*diagnosis/pathology
;
Tomography, X-Ray Computed
2.Intussusception into the enteroanastomosis after Billroth II gastric resection; diagnosed by gastroscopy.
Woo Ick JANG ; Nam Dong KIM ; Sun Woo BAE ; Won Tsen KIM ; Sang Ok KWON ; Kwang Soo YOON ; Soo Yong KIM
Journal of Korean Medical Science 1989;4(1):51-54
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.
Humans
;
Intussusception/*etiology/pathology/surgery
;
Jejunal Diseases/*etiology/pathology/surgery
;
Male
;
Middle Aged
;
Postoperative Complications/*pathology
;
Stomach/*surgery
3.High jejunal obstruction as a sequela of necrotizing enterocolitis.
Soon Ok CHOI ; Woo Hyun PARK ; Joong Shin KANG
Journal of Korean Medical Science 1991;6(2):183-186
A case of high jejunal obstruction due to stricture is reported. It is a rare form of late sequelae of neonatal necrotizing enterocolitis(NEC). Barium contrast study of the small bowel is recommended for earlier diagnosis and treatment before discharge from the hospital, even is an asympto-matic patient.
Child, Preschool
;
Constriction, Pathologic
;
Enterocolitis, Pseudomembranous/*complications
;
Humans
;
Intestinal Obstruction/*etiology/radiography/surgery
;
Jejunal Diseases/*etiology/radiography/surgery
;
Male
4.Stercoral colonic diverticulum perforation with jejunal diverticulitis mimicking upper gastrointestinal perforation.
Jing-Tao BI ; Yan-Tong GUO ; Jing-Ming ZHAO ; Zhong-Tao ZHANG
Chinese Medical Journal 2012;125(3):536-538
Stercoral perforation of the colon is an unusual pathological condition with fewer than 150 cases reported in the literature to date. We present a case of stercoral colonic perforation mimicking upper gastrointestinal perforation, which was diagnosed by computed tomography preoperatively. However, at laparotomy, stercoral colonic diverticulum perforation with jejunal diverticulitis became the most appropriate diagnosis.
Aged, 80 and over
;
Colonic Diseases
;
diagnosis
;
surgery
;
Diverticulitis
;
diagnosis
;
surgery
;
Diverticulum, Colon
;
diagnosis
;
surgery
;
Humans
;
Intestinal Perforation
;
diagnosis
;
surgery
;
Jejunal Diseases
;
diagnosis
;
Male
;
Tomography, X-Ray Computed
5.Jejunal Intussusception with Gastrointestinal Bleeding Caused by Metastatic Lung Cancer.
Il Seon YUN ; Jee Young LEE ; Jae Sung LEE ; Ju Young LEE ; Jin Myung BYUN ; Eun Jung KIM ; Jin Young PARK ; Jean Kyung PARK
The Korean Journal of Gastroenterology 2008;51(6):377-380
Intestinal intussusception caused by metastatic tumor is uncommon. Symptomatic small bowel metastases from lung cancer have been rarely reported. Here we report a case of intussusception with gastrointestinal bleeding induced by jejunal metastasis of non-small cell lung cancer with a review of the literature. A 52-year-old man was admitted to our hospital because of melena. He had underwent right pneumonectomy and received systemic chemotherapy with radiotherapy for squamous cell lung cancer. Esophagogastroduodenoscopy and colonoscopy failed to reveal bleeding focus. Abdominal CT scan revealed jejunal intussusception and histologic examination of resected jejunum showed metastatic mass from lung cancer. In patients with small bowel obstruction and history of malignancies, possibility of small bowel metastatic tumor should be considered.
Gastrointestinal Hemorrhage/*etiology
;
Humans
;
Intussusception/*etiology/radiography/surgery
;
Jejunal Diseases/*etiology/radiography/surgery
;
Jejunal Neoplasms/complications/pathology/*secondary
;
Lung Neoplasms/*complications/pathology/surgery
;
Male
;
Middle Aged
;
Tomography, X-Ray Computed
6.Small Intestinal Perforation Caused by Primary Jejunal MALT Lymphoma.
Won Cheol JANG ; You Sun KIM ; Seong Woo HONG ; Yun Kyung KANG
The Korean Journal of Gastroenterology 2008;51(4):215-218
No abstract available.
Endoscopy, Digestive System
;
Female
;
Humans
;
Intestinal Perforation/*diagnosis/etiology/surgery
;
Jejunal Diseases/*diagnosis/etiology/surgery
;
Jejunal Neoplasms/complications/*diagnosis/pathology
;
Lymphoma, B-Cell, Marginal Zone/complications/*diagnosis/pathology
;
Middle Aged
;
Tumor Markers, Biological/analysis
7.Leakage of Jejunal End of Roux Limb after Total Gastrectomy: Management with a Placement of a Covered Metallic Stent: Case Report.
Yong Pil CHO ; Deok Hee LEE ; Hyuk Jai JANG ; Jee Soo KIM ; Yong Ho KIM ; Myoung Sik HAN ; Sung Gyu LEE
Journal of Korean Medical Science 2003;18(3):437-440
Postoperative leakage is a serious complication in patients after gastric surgery. It can lead to a rapid deterioration in the patient's condition and quality of life. Treatment is guided by the type of anastomosis and the patient's clinical status. The role of interventional radiology in gastrointestinal tract is evolving. Metallic stent placement has shown encouraging results for the palliation of gastrointestinal tract obstruction and fistula in malignant patients. We encountered a case of the leakage of jejunal end of Roux limb after total gastrectomy. This patient required a drainage procedure with long-term parenteral nutrition. We performed peroral placement of a covered metallic stent to avoid surgery and long-term parenteral nutrition, and he resumed adequate oral intake immediately after stent placement. This minimally invasive procedure is very promising for the treatment of a gastrointestinal fistula to avoid surgery and long-term parenteral nutritional support in selected cases.
Aged
;
Anastomosis, Roux-en-Y/*adverse effects
;
Drainage
;
Fistula/etiology/surgery
;
Gastrectomy/*adverse effects
;
Human
;
Jejunal Diseases/*etiology/radiography/surgery
;
Jejunum/radiography/*surgery
;
Male
;
Postoperative Complications
;
*Stents
8.A Case of Jeujunogastric Intussusception Presented with Hematemesis after Distal Gastrectomy.
Yoon Ho JUNG ; Dong Kyun KIM ; Young Kwan CHO ; Won Young CHO ; Jin Oh KIM ; Joo Young CHO ; Joon Seong LEE
The Korean Journal of Gastroenterology 2010;55(6):390-393
Adult intussusception represents 5% of all cases of intussusception and accounts for only 1-5% intestinal obstructions. Intussusception is a rare complication after gastric surgery with an incidence estimated at 0.1%. Early diagnosis of the acute onset intussusception is critical because mortality rates increase abruptly with delay in surgical treatment. We present here a case of jejunogastric intussusception diagnosed by gastroscopy in a patient with a history of distal gastrectomy due to early gastric cancer who had experienced hematemesis.
Aged
;
Gastroenterostomy/*adverse effects
;
Gastroscopy
;
Hematemesis/complications/*diagnosis
;
Humans
;
Intussusception/complications/*diagnosis/surgery
;
Jejunal Diseases/complications/*diagnosis/surgery
;
Male
;
Tomography, X-Ray Computed
10.A Case of Dieulafoy Lesion of the Jejunum Presented with Massive Hemorrhage.
Min Seok HAN ; Byung Kyu PARK ; Sang Hun LEE ; Heui Chul YANG ; Young Ki HONG ; Yoon Jung CHOI
The Korean Journal of Gastroenterology 2013;61(5):279-281
The Dieulafoy lesion is a rare cause of severe gastrointestinal hemorrhage. Although it may occur anywhere in the gastrointestinal tract, the lesion is most commonly located in the stomach, and the small bowel is an extremely uncommon site. Since Dieulafoy lesion in the small bowel is difficult to access by endoscopy, it seems impossible to diagnose and treat by initial endoscopy unlike the lesions in stomach. We experienced a case of Dieulafoy lesion of jejunum with massive hemorrhage in 54-year-old male. Active jejunal bleeding was shown by computed tomography scan and mesenteric angiography. Partial resection of the jejunum was performed. Final pathologic finding revealed Dieulafoy lesion of the jejunum.
Angiography
;
Gastrointestinal Hemorrhage/complications/*diagnosis
;
Humans
;
Jejunal Diseases/complications/*diagnosis/surgery
;
Male
;
Mesenteric Arteries/radiography
;
Middle Aged
;
Tomography, X-Ray Computed