A Case of Retrograde Jejunogastric Intussusception Developed after Subtotal Gastrectomy

Cho, Chang Min; Ha, Seung Su; Park, Jae Hong; Kim, Tae Seok; Kang, Chun Il; Lee, Hyun Jung; Kim, Hyun Soo; Tak, Won Young; Kweon, Young Oh; Kim, Sung Kook; Choi, Yong Hwan; Chung, Joon Mo; Choi, Kyu Seok

Abstract

Retrograde jejunogastric intussusception is a segmental invagination of jejunal loop into stomach through stoma. It is a rare complication which can develop after partial gastrectomy, gastroenteroanastomosis, or enteroanastomosis. Clinical manifestations are abdominal pain, vomiting with bile or blood, and palpable mass in epigastric area. It presents considerable difficulties in diagnosis unless the index of suspicion is high. Endoscopy and upper gastrointestinal series are very helpful in the diagnosis of this disease. Although its management is usually surgical, an endoscopic reduction can alternatively be attempted. When anatomical reduction is performed on appropriate time, the prognosis is fairly good. We report a case of retrograde jejunogastric intussusception developed in a 52-year-old man with a brief review of literature. He had received subtotal gastrectomy and gastrojejunostomy for duodenal ulcer perforation 20 years before.