title: Retrograde jejuno-jejunal intussusception after total gastrectomy.
abstract: An eighty-year-old female was transferred to the hospital after experiencing abdominal pain and nausea. She had had a history of total gastrectomy for gastric cancer 14 years previously. Abdominal X-ray revealed a localized expansion of the small bowel. Computed tomography revealed a mass with a lamellar structure in a concentric circle. With a tentative diagnosis of small bowel obstruction due to intussusception, she underwent emergency operation. Laparotomy revealed a retrograde jejuno-jejunal intussusception. Bowel resection was performed due to the severe ischemic damage. All reported intussusception cases after total gastrectomy displayed retrograde characteristics and could occur both during the early and late period after surgery. It is important to consider the possibility of intussusception for patients presenting with acute abdomen who have previously undergone gastric resection.
authors.affiliation: Department of Surgery, Nagasaki Municipal Hospital, Nagasaki, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Yoneda
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kamohara
authors.forename: Ken
authors.initials: K
authors.lastname: Taniguchi
authors.forename: Junpei
authors.initials: J
authors.lastname: Maeda
authors.forename: Arifumi
authors.initials: A
authors.lastname: Akashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Inoue
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kohara
authors.forename: Akimi
authors.initials: A
authors.lastname: Miyata
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu