Retrograde jejunogastric intussusception: A case report and review of the literature

Abstract

Retrograde jejunogastric intussusception (JGI) is a rare but potentially fatal complication after previous gastrectomy or gastric bypass surgery. Because of the prevalence of bariatric surgery, the number of cases of postoperative intussusception has increased markedly. Here, we present the case of a patient with retrograde jejunogastric intussusception, having a previous history of subtotal gastrectomy and gastrojejunostomy for peptic ulcer disease. Correct preoperative diagnosis was made by plain abdominal film, upper gastrointestinal series, computed tomographic scan, and esophagogastroduodenoscopy. The diagnosis was confirmed by laparoscopic examination.

Postoperative Jejuno-Jenunal Intussusception - A Rare Complication Following Total Gastrectomy

“…Ultrasonography shows a tubular mass with peristalsis and computed tomography (CT) scan will show intussusception (9). Upper gastrointestinal endoscopy helps in the diagnosis and can be therapeutic in reducing the retrograde jejuno-gastric intussusception (9). In our case, diagnosis was confirmed on barium contrast study and Computerised tomography abdomen.…”

“…A water-soluble upper gastrointestinal contrast study reveals a "coiled -spring" appearance of the intussusception. Ultrasonography shows a tubular mass with peristalsis and computed tomography (CT) scan will show intussusception (9). Upper gastrointestinal endoscopy helps in the diagnosis and can be therapeutic in reducing the retrograde jejuno-gastric intussusception (9).…”

Retrograde jejunogastric intussusception: a single-institution experience over two decades

“…Endoscopic reduction is associated with recurrence. 24 Ultrasound findings reveal a mass with echogenic center surrounded by concentric echogenic rings with a peripheral rim of hypoechogenicity. On transverse images, this rim has been described as doughnut sign and longitudinal images as pseudo kidney sign.…”

“…6,15,25,26 Laparoscopic examination with reduction of of the intussusception via a minilaparotomy wound. 24 To prevent recurrence few authors suggested fixation of jejunum to the adjacent tissue, mesocolon, colon, stomach or faliciform ligament. 14,24,27 The role of fixation has been debated as the chance of recurrence is rare.…”

“…24 To prevent recurrence few authors suggested fixation of jejunum to the adjacent tissue, mesocolon, colon, stomach or faliciform ligament. 14,24,27 The role of fixation has been debated as the chance of recurrence is rare. 6,12 Bettman found only two recurrences among all the reported cases.…”