Case Report

Endoscopic Diagnosis of Jejuno-Gastric Intussusception

Mwachiro MM, Burgert SL, Arega FL, Spears C

Endoscopy and Research Department, Tenwek Hospital

Correspondence to: Dr. Michael Mwachiro, P.O Box 39-20400 Bomet Kenya. Email: deche2002@yahoo.com

Summary

Jejunogastric intussusception is a rare complication of gastric surgery that is potentially life threatening if it is not diagnosed early. This condition is a surgical emergency and is most commonly seen after gastro-jejunostomy. The authors report a case of an elderly female patient who presented with hematemesis and abdominal pain. Endoscopic evaluation revealed prolapsed small bowel into the stomach which was subsequently reduced intra-operatively. She had an uneventful post operative stay. This entity is fatal without surgical intervention. Diagnostic modalities like CT scan and endoscopy are key in the management of this entity.

Keywords: Retrograde jejunogastric intususception, Gastric surgery, Gastro-jejunostomy

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