Work

Jejuno-jejunal intussusception following feeding jejunostomy: A case report and literature review

Year: 2024

Type: article

Abstract: INTRODUCTION: Feeding jejunostomy is a rare cause of jejuno-jejunal intussusception, with presentations ranging from mild bowel obstruction to severe ischemia or perforation. CASE PRESENTATION: A 21-year-old male with a recent history of feeding jejunostomy placement presented with acute upper abdominal pain, bilious vomiting, and inability to pass stool or flatus. Ultrasonography confirmed jejuno-jejunal intussusception, necessitating resection of the affected segment and jejuno-jejunal anastomosis. One year postoperatively, the patient remains asymptomatic with no recurrence. DISCUSSION: Review of 17 cases of jejuno-jejunal intussusception post-jejunostomy revealed abdominal pain, vomiting, and abdominal distension as common symptoms. Diagnosis relied on imaging modalities like ultrasound or CT, and surgery was the primary treatment. CONCLUSION: This case underscores the importance of suspicion and timely intervention to prevent complications in patients with feeding jejunostomy presenting with obstructive symptoms.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110319

Authors: Suraj Pariyar, Sujan Paudel, Asim Shrestha, Bishal Gaurav, Saro Prajapati, Prajjwol Luitel

Institutions: Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University

Language: English

Topic: Gastrointestinal disorders and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800