Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature

Jejunogastric intussusception presented with hematemesis: a case presentation and review of the literature

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Abstract Background Jejunogastric intussusception (JGI) is a rare but potentially very serious complication of gastrectomy or gastrojejunostomy.To avoid mortality early diagnosis and prompt surgical intervention is mandatory.Case presentation A young man presented with epigastric pain and bilous vomiting followed by hematemesis,10 years after vagotomy and gastrojejunostomy for a bleeding duodenal ulcer.

Emergency endoscopy showed JGI and the CT scan of the abdomen was compatible with this diagnosis.At laparotomy a retrograde type II, first due helmet JGI was confirmed and managed by reduction of JGI without intestinal resection.Postoperative recovery was uneventful.

Conclusions JGI is a rare condition and less than 200 cases have chandal sevilla 23/24 been published since its first description in 1914.The clinical picture is almost diagnostic.Endoscopy performed by someone familiar with this rare entity is certainly diagnostic and CT-Scan of the abdomen could also help.

There is no medical treatment for acute JGI and the correct treatment is surgical intervention as soon as possible.