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 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

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 Postpartum Spontaneous Subcapsular Hepatic Hematoma Related to Preeclampsia

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Dimitrios Anyfantakis ◽  
Miltiades Kastanakis ◽  
Georgios Fragiadakis ◽  
Paraskevi Karona ◽  
Nikolaos Katsougris ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Emergency Caesarean Section ◽  
Maternity Ward ◽  
Hepatic Hematoma ◽  
Pregnancy And Postpartum ◽  
Life Threatening ◽  
Clinical Phenomenon ◽  
Diagnostic Work ◽  
Work Up ◽  
Severe Epigastric Pain

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period with serious complications in terms of fetal and maternal mortality. Here we report a case of a 32-year-old primiparous female at 36 weeks of gestation, admitted to a maternity ward of a private clinic for preeclampsia. The woman underwent an emergency caesarean section with the extraction of an alive foetus. A few hours after delivery, she was transferred to the emergency department of our institution complaining of severe epigastric pain. Diagnostic work-up was suggestive of a subcapsular right lob hepatic hematoma which was successfully managed conservatively. Timely diagnosis is necessary for the prevention of life-threatening events in mother and fetus. For this reason acute care physicians have to be vigilant of the condition and consider this in the differential diagnosis of epigastric pain during pregnancy and postpartum.

scholarly journals Jejunogastric Intussusception: An Unusual Cause of Hematemesis

2005 ◽  
Vol 19 (12) ◽  
pp. 735-736 ◽  
Author(s):  
Inian Samarasam ◽  
Sudhakar Chandran ◽  
Uday Shankar ◽  
Biju George ◽  
Ashok Chacko ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
English Literature ◽  
Rare Complication ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Life Threatening Complication

Jejunogastric intussusception is an uncommon but potentially life-threatening complication of a previous gastrojejunal anastamosis. Although jejunogastric intussusception was first described in 1914, fewer than 200 cases have been reported in the English literature thus far. Awareness of this rare complication would help in early diagnosis and appropriate management. Described here is a case report of a patient who presented with hematemesis due to an acute jejunogastric intussusception associated with gangrene of the intussuscepted jejunum.

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 Warfarin-induced skin necrosis: a rare condition

2020 ◽  
Vol 54 (4) ◽  
pp. 269-273
Author(s):  
Josephine Nsaful ◽  
Yaw Ofori Adjei ◽  
Florence Dedey ◽  
Nelson Agboadoh ◽  
Edem Anyigba ◽  
...  
Keyword(s):  
Renal Failure ◽  
Skin Necrosis ◽  
Rare Condition ◽  
Skin Grafting ◽  
Protein S ◽  
Protein S Deficiency ◽  
Wound Debridement ◽  
S Deficiency ◽  
Life Threatening ◽  
Life Threatening Complication

Warfarin induced skin necrosis is a rare debilitating and, in some cases, life-threatening complication. A 47-year-old male on life-long anticoagulation omits his medication and develops extensive skin necrosis of the left leg complicated by acute renal failure three days after restarting warfarin. Investigations reveal possible Protein S deficiency which is known to be a predisposing condition. Various mechanisms have been proposed as the underlying cause. He was managed on heparin, wound debridement and skin grafting. Warfarin was restarted concurrently with heparin. Knowledge of this complication will enable timely diagnosis and treatment.

scholarly journals Acute gastric volvulus: a case report

2018 ◽  
Vol 5 (3) ◽  
pp. 1137 ◽  
Author(s):  
Alaa Sedik ◽  
Salwa Elhoushy
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Epigastric Pain ◽  
Gastric Volvulus ◽  
Abdominal Distension ◽  
Aggressive Management ◽  
Threatening Condition ◽  
Acute Gastric Volvulus ◽  
Life Threatening ◽  
Severe Epigastric Pain

Acute gastric volvulus is a rare, life-threatening condition, but its intermittent nature and vague symptoms may make diagnosis difficult. Imaging is usually only diagnostic if carried out when patients are symptomatic. In the acute scenario, severe epigastric pain, retching with or without vomiting and difficulty or inability to pass nasogastric tube, constitute the Borchardt ’s triad that may be diagnostic. Herein, author reported a case that presented lately to the emergency department in shock with severe abdominal pain, abdominal distension and vomiting. Unfortunately, she died before surgery. Acute gastric volvulus is a surgical emergency requiring early diagnosis and aggressive management, as a delay results into complications like gangrene and perforation which substantially increase the morbidity and mortality in these patients.

scholarly journals Ruptured Bronchial Artery Aneurysm: Case Report

2008 ◽  
Vol 51 (4) ◽  
pp. 241-243 ◽  
Author(s):  
Filip Čečka ◽  
Jan Raupach ◽  
Petr Hoffmann ◽  
Petr Motyčka ◽  
Milan Štětina ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Epigastric Pain ◽  
Bronchial Artery ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Endovascular Embolization ◽  
Bronchial Artery Aneurysm ◽  
Life Threatening

Bronchial artery aneurysm is a very rare condition. Its rupture can cause a life threatening hemorrhage. We report a case of a 50-year-old patient with a ruptured bronchial artery aneurysm who presented with epigastric pain. It is the first published case with such signs of a rupture of a bronchial artery aneurysm. CT scan confirmed the diagnosis. The patient was treated with endovascular embolization.

scholarly journals Jejunogastric Intussusception: Life-Threatening Complication Occuring 55 Years after Gastrojejunostomy

2009 ◽  
Vol 48 (18) ◽  
pp. 1657-1660 ◽  
Author(s):  
Hiroyuki Tokue ◽  
Yoshito Tsushima ◽  
Yasuaki Arai ◽  
Keigo Endo
Keyword(s):  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
Life Threatening Complication
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