[Retrograde jejuno-jejunal intussusception. A rare complication following total gastric resection].
Jejunogastric intussusception is an infrequent complication following simple gastrojejunostomy or Billroth II anastomosis. Jejunojejunal intussusception through enteroenteric anastomosis following total gastrectomy, however, was reported in 2 cases. Here we present a case of a 59-year-old male patient with gastric ulcer who received a total gastrectomy with loop esophagojejunostomy and Braun's anastomosis 10 years previously, then developed retrograde jejunojejunal intussusception through Braun's anastomosis. The patient presented after a day of acute attacks of left upper quadrant pain with bilious vomiting. In-time, an operation was performed with successful results. This complication of retrograde jejunojejunal intussusception has never been reported. Clinical history, diagnosis, and treatment are discussed.
Hwang
C J
CJ
Department of Surgery, Tai-Chung Veteran General Hospital, Taiwan, Republic of China.
Cheng
J P
JP
Wu
C C
CC
Fang
T H
TH
Wu
T C
TC
Liu
T J
TJ
D000714:Anastomosis, Surgical / Q000009:adverse effects; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes