TITLE:
Jejunojejunal Intussusception following Jejunostomy
AUTHORS:
Younes Aggouri, Karim Ibn Majdoub, Issam Yazough, Mourad Oussaid, Imane Tourghai, Said Ait Laalim, Khalid Mazaz
KEYWORDS:
Intussusception, Jejunostomy, Invagination
JOURNAL NAME:
Surgical Science,
Vol.6 No.4,
April
22,
2015
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.