Retrograde jejunogastric intussusception presenting as haematemesis in a patient following pancreaticoduodenectomy
| Autor: | Julian M Choi, Tyson A Moore, Yahya Al-Habbal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Abdominal pain medicine.medical_treatment Stomach Diseases 030105 genetics & heredity Anastomosis Pancreaticoduodenectomy Diagnosis Differential Whipple Procedure 03 medical and health sciences 0302 clinical medicine Laparotomy Intussusception (medical disorder) medicine Humans Aged Unusual Presentation of More Common Disease/Injury business.industry Invagination Hematemesis Jejunal Diseases General Medicine medicine.disease Surgery Pancreatic Neoplasms Female medicine.symptom business Intussusception 030217 neurology & neurosurgery Abdominal surgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-233851 |
| Popis: | Intussusception is defined as the invagination of one part of the gastrointestinal tract into another. Jejunogastric intussusception is a rare phenomenon following major upper abdominal surgery, where its aetiology is not well understood. We describe a 68-year-old woman who presented with abdominal pain and haematemesis on the background of a previous pancreaticoduodenectomy (Whipple procedure) for pancreatic cancer. Gastroscopy demonstrated retrograde jejunogastric intussusception, where part of the efferent jejunal limb had prolapsed into the remnant stomach. As a consequence, this intussuscepted segment had become oedematous and ischaemic. The patient subsequently underwent a laparotomy, where the original gastrojejunostomy was resected, which showed the intussuscepted jejunum. The non-viable portion was removed and a Roux-en-Y anastomosis was created. This case highlights the need to ‘think outside the box’ with respect to differential diagnoses when a patient presents with abdominal pain on the background of previous complex abdominal surgery. |
| Databáze: | OpenAIRE |
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