Retrograde jejunogastric intussusception (JGI) with strangulation following previous gastrojejunostomy.
Jejunogastric intussusception is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory. A young man presented with epigastric pain and bilous vomiting followed by haematemesis 15 years after vagotomy & gastrojejunostomy for chronic duodenal ulcer. At presentation the patient was in shock and an emergency laparotomy was done after resuscitation. At laparotomy a retrograde type II JGI was found and managed by resection of the affected segment and partial gastrectomy and jejuno - jejunostomy with closure of the duodenal stump. Postoperative recovery was uneventful. Retrograde JGI is a rare condition and only less than 200 cases have been reported since its first report. Clinical picture of acute intestinal obstruction with suspicion about the condition in patients having a past history of gastrojejunostomy makes the elusive diagnosis definite and demands early surgery to reduce the grave consequences of the disease.
Miah
A G
AG
Department of Surgery, Mymensingh Medical College.
Imam
N A
NA
Joarder
R H
RH
Talukder
S I
SI
Hossain
M S
MS
D015746:Abdominal Pain; D000208:Acute Disease; D000328:Adult; D005763:Gastroenterostomy / Q000009:adverse effects*; D006801:Humans; D007443:Intussusception / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male