Back
 SS  Vol.6 No.4 , April 2015
Jejunojejunal Intussusception following Jejunostomy
Abstract: Intussusception is an invagination of a segment of the gastrointestinal tract into an adjacent one. Jejunojejunal intussusception is a rare complication of jejunostomy tube placement with an incidence of 1%. We are reporting a case of 35-year-old man who was suffering from severe oral, lesions due to Ingestion of acide agents. He received Witzel jejunostomy for early feeding. Ileus developed postoperatively and plain X-ray of the abdomen showed distended small bowel loop. Abdominal computed tomography revealed target sign as well as the feeding tube in a dilated jejunum and intussusception was diagnosed. Exploratory laparotomy was required due to failure of expectant therapy. Reduction of intussusception was done during exploratory laparotomy. The jejunostomy feeding was continued and the postoperative course was uneventful.
Cite this paper: Aggouri, Y. , Majdoub, K. , Yazough, I. , Oussaid, M. , Tourghai, I. , Laalim, S. and Mazaz, K. (2015) Jejunojejunal Intussusception following Jejunostomy. Surgical Science, 6, 175-178. doi: 10.4236/ss.2015.64028.
References

[1]   Wu, T.H., Lin, C.W. and Yin, W.Y. (2006) Jejunojejunal Intussusception Following Jejunostomy. Journal of the Formosan Medical Association, 105, 355-358.
http://dx.doi.org/10.1016/S0929-6646(09)60129-7

[2]   Krishna, S., Prabhu, R., Thangavelu, S. and Shenoy, R. (2013) Jejuno-Jejunal Intussusception: An Unusual Complication of Feeding Jejunostomy. BMJ Case Reports.
http://dx.doi.org/10.1136/bcr-2013-200219

[3]   Friedman, J.N., Ahmed, S., Connolly, B., Chait, P. and Mahant, S. (2004) Complications Associated with Image-Guided Gastrostomy and Gastrojejunostomy Tubes in Children. Pediatrics, 114, 458-461.
http://dx.doi.org/10.1542/peds.114.2.458

[4]   Carucci, L.R., Levine, M.S., Rubesin, S.E., Laufer, I., Assad, S. and Herlinger, H. (2002) Evaluation of Patients with Jejunostomy Tubes: Imaging Findings. Radiology, 223, 241-247.
http://dx.doi.org/10.1148/radiol.2231010961

[5]   Connolly, B.L., Chait, P.G., Siva-Nandan, R., Duncan, D. and Peer, M. (1998) Recognition of Intussusceptions around Gastrojejunostomy Tubes in Children. American Journal of Roentgenology, 170, 467-470.
http://dx.doi.org/10.2214/ajr.170.2.9456966

[6]   Parikh, M., Samujh, R., Kanojia, R. and Sodhi, K.S. (2010) Does All Small Bowel Intussusception Need Exploration. African Journal of Paediatric Surgery, 7, 30-32.
http://dx.doi.org/10.4103/0189-6725.59358

 
 
Top