title: A rare case of jejunogastric intussusception following gastric surgery.
abstract: BACKGROUND
  Jejunogastric intussusception (JGI) is an extremely rare complication of prior gastric surgery. Fewer than 200 cases have been reported in the literature.
  
  
  METHODS
  We present a case of an elderly male who presented with typical abdominal pain, hematemesis and a palpable epigastric mass. Ultrasonography and upper endoscopy diagnosed jejunogastric intussusception. Emergent laparotomy with manual reduction of the efferent loop intussusception resulted in successful treatment.
  
  
  CONCLUSIONS
  We report this case of efferent loop JGI, developing 40 years after the primary Billroth II gastrectomy. This is the longest interval from the initial gastric surgery for gastric cancer to be reported.
  
  
  CONCLUSIONS
  Maintaining a high index of suspicion is paramount in early diagnosis and treatment of this condition, which is associated with high mortality rates if surgery is delayed.
authors.affiliation: Dept. of General Surgery, Mahatma Gandhi Medical College, Sri Balaji Vidyapeeth University, Pondicherry, India. Electronic address: dr.yashvaidya@gmail.com.
authors.forename: Yash
authors.initials: Y
authors.lastname: Vaidya
authors.affiliation: Dept. of General Surgery, Mahatma Gandhi Medical College, Sri Balaji Vidyapeeth University, Pondicherry, India. Electronic address: 57sylvan@gmail.com.
authors.forename: Rajan
authors.initials: R
authors.lastname: Vaithianathan
keywords: Billroth II; Case report; Gastric surgery; Jejunogastric intussuscepion