scholarly journals Jejunogastric Intussusception: A Rare Complication of Gastric Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Gokhan Cipe ◽  
Fatma Umit Malya ◽  
Mustafa Hasbahceci ◽  
Yeliz Emine Ersoy ◽  
Oguzhan Karatepe ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Gastric Surgery ◽  
Postoperative Recovery ◽  
Jejunogastric Intussusception ◽  
History Of ◽  
Operative Findings ◽  
Severe Epigastric Pain ◽  
Emergent Laparotomy

Jejunogastric intussusception is a rare complication of gastric surgery. It usually presents with severe epigastric pain, vomiting, and hematemesis. A history of gastric surgery can help in making an accurate and early diagnosis which calls forth an urgent surgical intervention. Only reduction or resection with revision of the previously performed anastomosis is the choice which is decided according to the operative findings. We present a case of JGI in a patient with a history of Billroth II operation diagnosed by computed tomography. At emergent laparotomy, an efferent loop type JGI was found. Due to necrosis, resection of the intussuscepted bowel with Roux-en-Y anastomosis was performed. Postoperative recovery was uneventful.

scholarly journals Retrograde Jejunogastric Intussusception: A Case Report

1970 ◽  
Vol 5 (1) ◽  
pp. 32-34
Author(s):  
SS Pervin ◽  
SK Biswas ◽  
S Ahmed ◽  
D Khandokar
Keyword(s):  
Epigastric Pain ◽  
Rare Condition ◽  
Gastric Surgery ◽  
Type Ii ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Peristaltic Movement ◽  
Life Threatening Complication ◽  
Operative Recovery ◽  
Severe Epigastric Pain

Jejunogastric Intussusceptions is a rare but potentially life threatening complication of a previous gastrectomy or gastrojejunostomy. A 70 years old man presented with severe epigastric pain followed by haematemesis, 8 years after truncal vagotomy and gastrojejunostomy for pyloric stenosis. Ultrasonography revealed dilated stomach with a large intragastric mass which has minimal peristaltic movement. Endoscopy of upper GIT revealed prolapsed segment of jejunal loops through the gastrojejunostomy stoma. Laparotomy disclosed a retrograde type II jejunogastric intussusception and was managed by reduction of jejunogastric intussusception, resection of gangrenous segment and end to end anastomosis. Post operative recovery was uneventful. Retrograde jejunogastric intussusceptions is a rare condition and around 200 cases has been reported since its first description in 1914. Urgent recognition and surgical treatment is mandatory to reduce the mortality rate from this complication. Key words: Retrograde Jejunogastric Intussusception; gastrojejunostomy; gastric surgery. DOI: 10.3329/fmcj.v5i1.6812Faridpur Med. Coll. J. 2010;5(1):32-34

scholarly journals Gangrenous jejunogastric intussuception as a complication of gastric surgery

2012 ◽  
Vol 43 (1-2) ◽  
pp. 18-20
Author(s):  
SM Hossain ◽  
AKMR Iqbal ◽  
SF Ahmed ◽  
MW Rahman
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Epigastric Pain ◽  
Previous History ◽  
Gastric Surgery ◽  
Sudden Onset ◽  
Palpable Mass ◽  
Post Operative Period ◽  
Jejunogastric Intussusception ◽  
History Of

Jejunogastric intussusception (JGI) is a rare but serious complication following gastrojenjunostomy operation. Clinical presentation may be acute or chronic. The efferent loop intussusception is most frequent type. Our case report include a 60 years male presented with sudden onset of epigastric pain, vomiting, hematemesis and a palpable mass at epigastrium with previous history of gastric surgery about 11 years back. Diagnosis of JGI was confirmed with endoscopy findings. After prompt resuscitation early surgery was done. Gangrenous segment was resected and revision surgery was done in Roux-en-Y pattern. Post-operative period was uneventful. Awareness of such complication, early diagnosis and prompt surgery can reduce the mortality of JGI. DOI: http://dx.doi.org/10.3329/bmjk.v43i1-2.13018 Bang Med J (Khulna) 2010; 43: 18-20

scholarly journals Rapunzel syndrome causing partial gastric outlet obstruction requiring emergency laparotomy

2020 ◽  
Vol 13 (1) ◽  
pp. e232904
Author(s):  
Robert Lyons ◽  
Granit Ismaili ◽  
Michael Devine ◽  
Haroon Malik
Keyword(s):  
Ct Scan ◽  
Gastric Outlet Obstruction ◽  
Epigastric Pain ◽  
Outlet Obstruction ◽  
Postoperative Recovery ◽  
Emergency Laparotomy ◽  
Rapunzel Syndrome ◽  
History Of

A 16-year-old girl with a background of childhood trichophagia presented with a 2-day history of epigastric pain and associated anorexia with vomiting. An epigastric mass was palpable on examination. A CT scan revealed an intragastric trichobezoar, extending into the duodenum consistent with Rapunzel syndrome with evidence of partial gastric outlet obstruction and a possible perforation. The patient underwent an urgent laparotomy and extraction of the trichobezoar. The bezoar was removed without complication and no intraoperative evidence of perforation was detected. After an uncomplicated postoperative recovery, she was discharged home with psychiatric follow-up.

Jejunogastric Intussusception, a Rare Complication of Gastric Surgery: Report of Two Cases

Surgery Today ◽  
2006 ◽  
Vol 36 (8) ◽  
pp. 733-736 ◽  
Author(s):  
Zafer Buyrac ◽  
Hayrullah Derici ◽  
Gazi Yoruk ◽  
Yasin Peker ◽  
Kadir Aksoz ◽  
...  
Keyword(s):  
Rare Complication ◽  
Gastric Surgery ◽  
Jejunogastric Intussusception

scholarly journals Pancreatic Rheumatoid Granulomas: A Case Report of a Rare Complication of Rheumatoid Arthritis

2021 ◽  
Vol 36 (4) ◽  
pp. e291-e291
Author(s):  
Sanad Elshebli ◽  
Omar Abureesh ◽  
Heyam Awad
Keyword(s):  
Rheumatoid Arthritis ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Whipple Procedure ◽  
Tissue Mass ◽  
Chronic Inflammatory Response ◽  
History Of ◽  
Head Of The Pancreas ◽  
Skin Nodules ◽  
Polymerase Chain

Cutaneous granulomas presenting as skin nodules are the most common extra-articular manifestations of rheumatoid arthritis (RA). Granulomas are defined as a form of chronic inflammatory response characterized by aggregation of activated histiocytes. Visceral granulomas are a rare complication of long-standing RA and have been described twice in the literature. We report a case of a 55-year-old woman with a 15-year history of RA. The patient presented with epigastric pain and weight loss. Imaging studies showed a large soft tissue mass in the head of the pancreas, which was suspected to be malignant. A Whipple procedure was performed, and histological examination revealed multiple non-caseating granulomas with central liquefaction and neutrophilic infiltrate. Ziehl-Neelsen stain for acid-fast bacilli and tuberculosis polymerase chain reaction were negative. The patients’ granulomas were diagnosed as rheumatoid granulomas. Five years after diagnosis, the patient is doing well and has no complications.

scholarly journals Internal Herniation through Foramen of Winslow: A Diagnosis Not to be Missed

2016 ◽  
Vol 9 ◽  
pp. CGast.S38453 ◽  
Author(s):  
Edmund Leung ◽  
Simon Bramhall ◽  
Prajeesh Kumar ◽  
Moustafa Mourad ◽  
Amdad Ahmed
Keyword(s):  
Epigastric Pain ◽  
Primary Anastomosis ◽  
Delayed Diagnosis ◽  
Postoperative Recovery ◽  
Emergency Laparotomy ◽  
Cross Sectional ◽  
Foramen Of Winslow ◽  
Lesser Sac ◽  
Cross Sectional Imaging ◽  
Severe Epigastric Pain

Introduction Hernias through the foramen of Winslow are extremely rare, accounting for 0.1% of all abdominal hernias. Delayed diagnosis is often observed, resulting in bowel strangulation and high mortality. Method We present a case of a patient with strangulated ileum herniated through the foramen of Winslow. Recent literature review was undertaken on “PubMed” as a search platform using the keywords “foramen of Winslow” and “hernia”. Case Summary A 66-year-old man presented acutely with severe epigastric pain and vomiting. An emergency computed tomography scan revealed a loop of ileum in the lesser sac. At emergency laparotomy, a herniated loop of ileum that had become strangulated at its entry to the lesser sac via the foramen of Winslow was confirmed. The loop of ileum was reduced but was nonviable, which had to be resected with a primary anastomosis. The patient's postoperative recovery was uneventful. Conclusion Herniation through the foramen of Winslow is a difficult diagnosis and must not be missed. Early cross-sectional imaging and surgical intervention are advised in order to reduce morbidity.

scholarly journals Retrograde Jejunogastric Intussusception (RJGI): A Life- Threatening Complication after Gastric Bypass Surgery

2016 ◽  
Vol 33 (3) ◽  
pp. 161-165
Author(s):  
Imtiaz Faruk ◽  
Sheikh Firoj Kabir ◽  
Syed Mahbubul Alam ◽  
Kh ABM Abdullah Al Hasan
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Rare Complication ◽  
Barium Meal ◽  
Type Ii ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication

Retrograde jejunogastric intussusception (RJGI) after gastric bypass surgery is a rare but potentially life threatening complication. This complication may develop after simple gastrojejunostomy, after lower partial resection of stomach with gastrojejunostomy (Billroth-II gastric surgery) or after Roux-en-Y gastric bypass. Among the three anatomic type of jejunogastric intussusception (JGI), type-II is the commonest variety. The acute form is a surgical emergency. Mortality rate is very high. Little is known about the mechanism but many literatures indicate abnormal motility may be a cause. A 50 year old male presented to us with a three month history of repeated vomiting and one day of upper mid-abdominal pain. He had a history of gastric bypass for pyloric stenosis 12 years back. Diagnosis was confirmed by upper GI endoscopy. At laparotomy type II retrograde jejunogastric intussusception was identified. En-block resection of affected segment of jejunum and lower part of the stomach was done followed by Roux-en-Y reconstruction. RJGI is a rare complication of gastric bypass surgery. Early diagnosis is imperative. High index of suspicion is therefore important. Barium meal X-ray, ultra sonogram, enhanced CT scan occasionally be diagnostic, but endoscopy is certainly diagnostic in experienced hand. Laparotomy is mandatory. Surgical options include simple reduction, en-block resection and/or plication.J Bangladesh Coll Phys Surg 2015; 33(3): 161-165

scholarly journals Jejunogastric Intussusception: A Rare Complication of Gastric Surgery

2021 ◽  
Vol 10 (2) ◽  
pp. 126-129
Author(s):  
Kaniza Kabir Shanta ◽  
Mashah Binte Amin
Keyword(s):  
Rare Complication ◽  
Gastric Surgery ◽  
Jejunogastric Intussusception

Abstract not available J Enam Med Col 2020; 10(2): 126-129

scholarly journals Retrograde jejunogastric intussusception; varied clinical and endoscopic presentation: A cases series

2016 ◽  
Vol 07 (02) ◽  
pp. 068-070 ◽  
Author(s):  
Nisar Ahmad Shah ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Showkat Ahmad Kadla ◽  
Shaheena Parveen ◽  
...  
Keyword(s):  
Rare Complication ◽  
Gastric Surgery ◽  
Clinical Presentations ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
To Come

AbstractRetrograde jejunogastric intussusception is a rare complication of gastric surgery. Approximately 250 cases have been reported till now. It has varied clinical and endoscopic presentations. Since gastrojejunostomy with vagotomy are on a declining trend, it is extremely rare to come across such a complication. The condition can be acute and life threatening or chronic and disabling. We report four such cases with different endoscopic and clinical presentations.

scholarly journals Uterine Leiomyoma presenting with Hemoperitoneum

2013 ◽  
Vol 5 (1) ◽  
pp. 33-34
Author(s):  
Krishna Dahiya ◽  
Nymphaea Walecha
Keyword(s):  
South Asian ◽  
Uterine Leiomyoma ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Pelvic Mass ◽  
Definitive Treatment ◽  
Cardiovascular Collapse ◽  
Emergency Physicians ◽  
Spontaneous Bleeding ◽  
History Of

ABSTRACT Bleeding from uterine leiomyoma is a rare cause of hemoperitoneum. Although extremely rare, spontaneous bleeding from uterine leiomyoma should be in the differential diagnosis when there is no history of trauma, pregnancy, or other findings. This case report highlights that spontaneous vascular rupture in a fibroid can cause acute cardiovascular collapse, and that this should be borne in mind in cases of acute abdomen, especially in the presence of an abdomino-pelvic mass. Because surgical intervention is the only definitive treatment, emergency physicians should be aware of this rare complication. How to cite this article Dahiya K, Walecha N. Uterine Leiomyoma presenting with Hemoperitoneum. J South Asian Feder Obst Gynae 2013;5(1):33-34.

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