Jejunogastric intussuception presenting as an epigastric mass: A rare case report

Autor:	Shahid Murtaza, Rashid Murtaza, Mritunjay Sarawagi, Saketan Bhagat
Rok vydání:	2017
Předmět:	medicine.medical_specialty Rib cage Ileus business.industry Left upper quadrant medicine.disease Surgery Lesion Abdominal examination Epigastric mass Rare case medicine medicine.symptom business Complication
Zdroj:	Hellenic Journal of Surgery. 89:49-51
ISSN:	1868-8845 0018-0092
DOI:	10.1007/s13126-017-0380-8
Popis:	Jejunogastric intussusception is a potentially lethal complication of gastric surgery intussusceptions that can occur in any patient who has had a gastrojejunostomy. The diagnostic triad consists of high intestinal obstruction, left hypochondriac mass and hematemesis. On abdominal examination there may be left upper quadrant tenderness and guarding, and occasionally a mass may be felt. Often the mass is concealed by the rib cage and the guarding. Because the lesion is intraluminal, there is no peritoneal irritation and ileus is a late sign. This complication may occur at a variable period after original gastric operation. The treatment of acute variety of jejunogastric intussusception is prompt surgery. Delay in surgery beyond 48 hours is associated with an approximately 50% mortality.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::719f171ac1777b0f0b3e016ef0664f7c https://doi.org/10.1007/s13126-017-0380-8 Zobrazit plný text záznamu Full text from SpringerLink