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.