Retrograde jejunogastric intussusception (JGI) with strangulation following previous gastrojejunostomy.
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Date
2006-01-10
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Abstract
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.
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Mymensingh Medical Journal.
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Miah AG, Imam NA, Joarder RH, Talukder SI, Hossain MS. Retrograde jejunogastric intussusception (JGI) with strangulation following previous gastrojejunostomy. Mymensingh Medical Journal. 2006 Jan; 15(1): 99-101