Korean J Gastroenterol.  2010 Jun;55(6):390-393. 10.4166/kjg.2010.55.6.390.

A Case of Jeujunogastric Intussusception Presented with Hematemesis after Distal Gastrectomy

• Jung YH
• Kim DK
• Cho YK
• Cho WY
• Kim JO
• Cho JY
• Lee JS

• KMID: 948768
• DOI: http://doi.org/10.4166/kjg.2010.55.6.390

Abstract

Adult intussusception represents 5% of all cases of intussusception and accounts for only 1-5% intestinal obstructions. Intussusception is a rare complication after gastric surgery with an incidence estimated at 0.1%. Early diagnosis of the acute onset intussusception is critical because mortality rates increase abruptly with delay in surgical treatment. We present here a case of jejunogastric intussusception diagnosed by gastroscopy in a patient with a history of distal gastrectomy due to early gastric cancer who had experienced hematemesis.

Keyword

Intussusception; Gastrectomy

MeSH Terms

Aged
Gastroenterostomy/*adverse effects
Gastroscopy
Hematemesis/complications/*diagnosis
Humans
Intussusception/complications/*diagnosis/surgery
Jejunal Diseases/complications/*diagnosis/surgery
Male
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Endoscopic finding showed a congested jejunal segment intussuscepted into the the stomach.

• 

  Fig. 2. CT finding showed dilated stomach with intragastric target shaped mass (arrow) which was compatible with intussuscepted bowel loop.

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  Fig. 3. Gross finding showed intussuscepted bowel segment (arrows) that was edematous and dark red in color.

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