Jejunal intussusception on jejunostomy tube: A rare cause of occlusion in adults. (August 2022)

• Record Type: Journal Article
• Authors: Chirihan, A.; Ezzaky, S.; Eloual, I.; Madani, A.; Jroundi, L.; Laamrani, F.Z.
• Is Part Of: International journal of surgery case reports. Volume 97(2022)
• Publication Date: 2022-08
• Subjects: Acute intestinal intussusception -- Jejunostomy tube -- Occlusion; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2022.107447
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Introduction: Acute intestinal intussusception (AI) in adults secondary to jejunostomy is a rare complication and a surgical emergency requiring early diagnosis and treatment. Presentation of case: We report the case of a 44-year-old patient, without medical history, who presented dysphagia after caustic ingestion. The patient underwent a Witzel feeding jejunostomy. The evolution was marked by the installation of abdominal distension with vomiting and alteration of the general state, the diagnosis of an intussusception in the jejunostomy tube was made in the abdominal CT scan, which required a surgical intervention, and reduction of intussusception, with simple after effects. Discussion: Acute intestinal intussusception (IIA) secondary to jejunostomy tube placement is a rare abdominal emergency. It manifests with signs of upper gastrointestinal obstruction. Diagnosis is based on abdominal imaging by ultrasound or CT scan. Treatment is most often surgical (Chavrier et al., 1992) [1] . Conclusion: We present a very rare example of acute intestinal intussusception in adults, complicating jejunostomy, with non-specific clinical signs, which needed an early radiological diagnosis for adequate management. Highlights: Acute intestinal intussusception, jejunostomy tube, occlusion.