Jejunogastric intussusception: a case report of rare complic
Jejunogastric intussusception (JGI) is a rare complication of gastrojejunostomy surgery (<0.1% of cases), yet requires an urgent diagnosis.

Mortality rate ranging from 10% to 50% based on delay in diagnosis and surgical intervention. Vomiting, abdominal pain, and hematemesis are the most common symptoms.

Researchers report a 60 years old man admitted to the emergency department, complaining of epigastric pain and recurrent hematemesis for 3 days. Emergent upper GI endoscopy was done, and the gastroenterologist reported a protruded edematous jejunal mucosa with bleeding, which formed a mass-like lesion. Abdominopelvic computed tomography scan also showed a target sign in favor of jejunal intussusception.

Midline laparotomy and reduction of the jejunal loop were performed and the patient was discharged without any further complications.

In patients presenting with hematemesis and abdominal pain and a history of gastrectomy, JGI must be considered as a possible cause because early diagnosis and treatment are necessary to prevent further complications.

Journal of Surgical Case Reports
Source: https://doi.org/10.1016/j.ijscr.2021.106188
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