胃切除術後30年経過して発症したBraun吻合部腸重積症の１例

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  • A Case of Intussusception at Braun’s Anastomosis Occurring 30 Years after Gastrectomy

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A 70-year-old man was admitted to our hospital with a history of epigastric pain and vomiting. He had previously undergone distal gastrectomy with Billroth II reconstruction for the treatment of gastric ulcer. Based on the abdominal ultrasound and abdominal computed tomography findings, we diagnosed intestinal obstruction caused by intussusception. Intraoperatively, retrograde intussusception of the efferent jejunal loop into the anal side of the Braun anastomosis was found. The intussuscepted jejunum was resected, and it contained no tumor. The patient was discharged on the 18th postoperative day without complications. Until now, 2 years after the surgery, there has been no evidence of recurrence. There are few reports in the literature of recurrent intussusception. Intussusception after gastrectomy is rare, but should be considered in the differential diagnosis of ileus.　Because the postoperative course was relatively uneventful, the patient was discharged on the 18th hospital day. Until now, 2 years since the surgery, there has been no evidence of recurrence. Intussusception after gastrectomy, which is rare, also needs to be considered in patients presenting with intestinal obstruction.

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