A case report of a relapsed retrograde intussusception at a Roux-en-Y anastomosis after total gastrectomy requiring two surgeries

KITA Kengo, YABUKI Hidehiko, INABA Satoshi, OHARA Kei, SYOUNAKA Tatsuya, WATANABE Kenji

doi:10.3919/jjsa.74.391

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二度の手術を要した胃全摘後Roux-en-Y吻合部逆行性腸重積の1例
症例二度の手術を要した胃全摘後Roux-en-Y吻合部逆行性腸重積の1例
ショウレイニドノシュジュツオヨウシタイゼンテキゴ Roux-en-Y フンゴウブギャッコウセイチョウジュウセキノ 1レイ

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Abstract

A 76-year-old man, who had undergone a total gastrectomy 21 years prior, had a sudden onset of abdominal pain. Abdominal CT scan revealed a tumor with a layered structure in the upper abdomen. Jejunography revealed a crab-claw appearance. Intestinal obstruction caused by intussusceptions was diagnosed, and a laparotomy was performed. An invaginated bowel progressing in an antiperistaltic direction was present on the anal side of the Y-anastomosis. After manual replacement, a partial resection of jejunum was performed. No abnormalities were found at the resected jejunum. A year later, the patient again developed abdominal pain. CT scan revealed of an intussusception, and a laparotomy was performed. Retrograde invagination at the anal side of the Y-anastomosis was again found. The patient required a jejunum resection which included the Y-anastomosis. No subsequent relapses have been documented.<BR>Intussusception after gastrectomy occurs rarely. Nevertheless, it must be kept in mind as a probable occurrence after gastrectomy.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 74 (2), 391-395, 2013

Japan Surgical Association

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