Retrograde jejunogastric intussusception (JGI) with strangulation following previous gastrojejunostomy.
Artigo
em Inglês
| IMSEAR
| ID: sea-1257
ABSTRACT
Jejunogastric intussusception is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy. To avoid mortality early diagnosis and prompt surgical intervention is mandatory. A young man presented with epigastric pain and bilous vomiting followed by haematemesis 15 years after vagotomy & gastrojejunostomy for chronic duodenal ulcer. At presentation the patient was in shock and an emergency laparotomy was done after resuscitation. At laparotomy a retrograde type II JGI was found and managed by resection of the affected segment and partial gastrectomy and jejuno - jejunostomy with closure of the duodenal stump. Postoperative recovery was uneventful. Retrograde JGI is a rare condition and only less than 200 cases have been reported since its first report. Clinical picture of acute intestinal obstruction with suspicion about the condition in patients having a past history of gastrojejunostomy makes the elusive diagnosis definite and demands early surgery to reduce the grave consequences of the disease.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Humanos
/
Masculino
/
Gastroenterostomia
/
Dor Abdominal
/
Doença Aguda
/
Adulto
/
Intussuscepção
/
Doenças do Jejuno
Tipo de estudo:
Estudo de rastreamento
Idioma:
Inglês
Ano de publicação:
2006
Tipo de documento:
Artigo
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