Korean J Gastrointest Endosc.  2008 Aug;37(2):112-115.

A Case of Retrograde Jejunogastric Intussusception Diagnosed by Gastroscopy

• Lee H
• Kim EO
• Shin J
• Oh SH
• Song HS
• Jeon EJ
• Oh JH
• Jeong JJ
• Choi SW
• Kim SG
• Yun SS
• Lee S

Abstract

Retrograde intussusception of the jejunum into the stomach through the stroma of a gastroenterostomy is a very rare, but potentially fatal complication after gastrectomy. Once symptoms develop, the mortality rate is high if this is not treated within 48 hours, so making an early diagnosis with a high index of suspicion and administering prompt treatment are mandatory. Gastroscopy could be a useful diagnostic tool for patients with a history of gastrectomy and who present with abdominal pain and hematemesis, and with considering the possibility of intussusception. A 65-year-old man with a history of Billroth II gastrectomy that was done 35 years ago due to gastric ulcer perforation was admitted with abdominal pain and hematemesis. A necrotic mucosa that was suspicious of an intussuscepted small bowel tissue was detected on gastroscopy. Subsequent open reduction and small bowel resection was performed with successful results. We report here on a case of postoperative retrograde jejunogastric intussusception that occurred 35 years after Billroth II gastrectomy, and it was first diagnosed by performing gastroscopy.

Keyword

Intussusception; Gastroscopy; Gastrectomy

MeSH Terms

Abdominal Pain
Aged
Early Diagnosis
Gastrectomy
Gastroenterostomy
Gastroscopy
Hematemesis
Humans
Intussusception
Jejunum
Mucous Membrane
Stomach
Stomach Ulcer