ABSTRACT
INTRODUCTION: Jejunogastric intussusception following gastrectomy or gastric bypass surgery is a rare complication that, if not identified early, can have catastrophic outcomes. PRESENTATION OF CASE: In this case, a 59-year-old male with a previous Billroth II gastrojejunostomy presented with intussusception of the efferent loop of jejunum through his previous repair. DISCUSSION: As there has only been approximately 300 reported cases of this complication, it often does not rank high as a differential diagnosis. Early detection of jejunogastric intussusception by maintaining a high level of suspicion is critical in reducing morbidity and mortality associated with this complication. This can be achieved by following the appropriate steps to diagnosis and choosing the appropriate treatment modality. CONCLUSION: Presentation of the case and a review of the literature is critical to make surgeons aware of this rare complication.
Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Hernia, Ventral/etiology , Hernia, Ventral/surgery , Cholecystectomy, Laparoscopic/instrumentation , Fasciotomy , Female , Hernia, Ventral/diagnostic imaging , Humans , Middle Aged , Punctures , Recurrence , Surgical Instruments , Tomography, X-Ray ComputedABSTRACT
Technological advancements have refined laparoscopic surgery and expanded its application to include many disease processes and organs. As next-generation instruments become smaller (<5 mm), secondary benefits such as cosmesis, patient satisfaction, and decreased postoperative analgesic requirements are being realized. Urachal anomalies are rare, and their management is evolving from total radical open, to needlescopic (
