Journal List > Korean J Gastroenterol > v.55(6) > 1006678

Jung, Kim, Cho, Cho, Kim, Cho, and Lee: A Case of Jeujunogastric Intussusception Presented with Hematemesis after Distal Gastrectomy

Abstract

Adult intussusception represents 5% of all cases of intussusception and accounts for only 1-5% intestinal obstructions. Intussusception is a rare complication after gastric surgery with an incidence estimated at 0.1%. Early diagnosis of the acute onset intussusception is critical because mortality rates increase abruptly with delay in surgical treatment. We present here a case of jejunogastric intussusception diagnosed by gastroscopy in a patient with a history of distal gastrectomy due to early gastric cancer who had experienced hematemesis.

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Fig. 1.
Endoscopic finding showed a congested jejunal segment intussuscepted into the the stomach.
kjg-55-390f1.tif
Fig. 2.
CT finding showed dilated stomach with intragastric target shaped mass (arrow) which was compatible with intussuscepted bowel loop.
kjg-55-390f2.tif
Fig. 3.
Gross finding showed intussuscepted bowel segment (arrows) that was edematous and dark red in color.
kjg-55-390f3.tif
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