Jejunogastric Intussusception: Life-Threatening Complication Occuring 55 Years after Gastrojejunostomy

  • Tokue Hiroyuki
    Division of Diagnostic Radiology, National Cancer Center Hospital
  • Tsushima Yoshito
    Department of Diagnostic and Interventional Radiology, Gunma University Hospital
  • Arai Yasuaki
    Division of Diagnostic Radiology, National Cancer Center Hospital
  • Endo Keigo
    Department of Diagnostic and Interventional Radiology, Gunma University Hospital

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抄録

An 80-year-old man presented with acute abdominal pain and hematemesis. He had a history of gastrojejunostomy 55 years previously. Ultrasonography (US) showed intragastric tublar images with peristalsis. Enhanced computed tomography (CT) demonstrated a dilated stomach with an intragastric filling by bowel loops suggestive of jejunogastric intussusception (JGI). Reduction of the JGI was immediately performed without resection of the intussuscepted intestine, and the patient was well postoperatively.<br> JGI is a rare life-threatening complication after gastric surgery. This complication may occur even 55 years after gastric surgery, and preoperative diagnosis is possible by US and CT findings.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 48 (18), 1657-1660, 2009

    一般社団法人 日本内科学会

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