Clinical case of intussusception of the jejunum into gastroenteroanastomosis after gastric ­resection

F Sh Akhmetzyanov; Ахметзянов Фоат Шайхутдинович; V I Egorov; Егоров Василий Иванович; A N Daminov; Даминов Альберт Наилевич; N D Sirazitdinov; Сиразитдинов Наиль Дамирович

doi:10.17816/KMJ2021-234

Clinical case of intussusception of the jejunum into gastroenteroanastomosis after gastric resection

Authors: Akhmetzyanov FS.¹^,2, Egorov VI¹^,2, Daminov AN², Sirazitdinov ND¹
Affiliations:
1. Kazan State Medical University
2. Tatarstan Regional Clinical Cancer Center
Issue: Vol 102, No 2 (2021)
Pages: 234-237
Section: Clinical observations
URL: https://bakhtiniada.ru/kazanmedj/article/view/49992
DOI: https://doi.org/10.17816/KMJ2021-234
ID: 49992

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Abstract

Intussusception is one of the varieties of mixed (strangulation and obturation) mechanical intestinal obstruction. It arises as a result of the introduction of the adducting segment of the intestine into the abducting one. Gastroduodenal intussusception is an extremely rare type of high intestinal obstruction. It most often occurs after surgery on the stomach and much less often in non-operated patients. Intussusception of the jejunum into the stomach can occur soon after surgery, but most often, this complication occurs 5–15 years after the intervention. This paper describes a case of retrograde intussusception that arose 9 years after the Billroth II gastric resection with Braun anastomosis. This clinical case acquaints specialists with the possibility to encounter this pathology in clinical practice and demonstrates the appropriateness of differential diagnostics in cases with similar clinical symptoms.

Keywords

gastric cancer, intussusception, gastroenteroanastomosis, gastric resection, cancer recurrence

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References

Kazushhik V.L., Protasevich A.I. Redkie formy ostroj kishechnoj neprohodimosti. (Rare forms of acute intestinal obstruction.) Minsk: BGMU. 2008; 22 р. (In Russ.)
Ponomarev A.A., Kurygii A.A. Redkie neopuholevye hirurgicheskie zabolevanija pishhevoda, zheludka i dvenadcatiperstnoj kishki. (Rare non-neoplastic surgical diseases of the esophagus, stomach and duodenum.) L.: Medicina. 1987; 231 p. (In Russ.)
Marinis A., Yiallourou A., Samanides L. et al. Intussusception of the bowel in adults: a review. World J. Gastroenterol. 2009; 15 (4): 407–411. doi: 10.3748/wjg.15.407.
Bas S.I., Kovalev S.A., Tatarinov V.S. et al. A case of retrograde intussusception of the small intestine into the gastric stump. In: Hirurgija Belarusi na sovremennom etape. (Surgery in Belarus at the present stage.) Part 1. 2018; 403–405. (In Russ.)
Moreno E.A., Cickman P., Azar R. et al. Intestinal intussusception in adults: Tomographic findings and report of two cases. Acta Gastroenterol. Latinoam. 2013; 43 (2): 126–129. PMID: 23940913.
Ponomarev A.A., Karpov O.E. Redkie prichiny neprohodimosti zheludochno-kishechnogo trakta. (Rare causes of gastrointestinal obstruction.) Rjazan': RyazGMU. 2002; 420 p. (In Russ.
Lyons D., Sidhu S. Missed case of intussusception, a rare cause of abdominal pain in adults: A case report emphasizing the imaging findings and review of the literature. Radiol. Case Rep. 2019; 14: 906–910. doi: 10.1016/j.radcr.2019.05.007.