J Korean Surg Soc.  2006 Sep;71(3):214-217.

Retrograde Jejuno-gastric Intussusception

Affiliations
  • 1Department of Surgery, Gyeongsang National University Collage of Medicine, Jinju, Korea. skchoignuh@yahoo.co.kr
  • 2Department of Diagnostic Radiology, Gyeongsang National University Collage of Medicine, Jinju, Korea.

Abstract

Retrograde jejuno-gastric intussusception is an unusual complication after gastroenterostomy. It is very difficult to diagnosis this illness before endoscopy or operation, so a high clinical suspicion is needed to make the diagnosis .There have been only 300 reported cases of this illness. There are four types of jejuno-gastric intussusception that are defined anatomically. Intussusception of the efferent limb of the jejunum is the most frequent type. Although the causative factors are not well known, this disease has a poor outcome unless it's treats promptly within 48 hours. We report here a case of hematemesis caused by intussusceptum from the efferent limb to the afferent limb of Braun anastomosis.

Keyword

Hematemesis; Jejunogastric intussusception; Billroth II anastomosis

MeSH Terms

Diagnosis
Endoscopy
Extremities
Gastroenterostomy
Hematemesis
Intussusception*
Jejunum
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