Retrograde jejuno-gastric intussusception following Billroth II gastrectomy with Braun's jejuno-jejunostomy
Abstract
Retrograde jejuno-gastric intussusception is a potentially fatal complication of a Billroth II gastrectomy [1, 2]. In all, there are just over 200 cases reported [2]. The condition may present with varied clinical presentations like abdominal pain, vomiting, haematemesis, gastric outlet obstruction, intestinal obstruction, and intestinal gangrene [1,3-6]. To the best of our knowledge, there are no reported cases of haematemesis presenting in a patient with retrograde jejuno- gastric intussusception through a Braun's jejuno-jejunostomy. We present a case that highlights an unusual type of retrograde gangrenous intussusception which occurred across two points of previous anastomosis i.e. jejuno-jejunostomy and gastro-jejunostomy simultaneously.
Sri Lanka Journal of Surgery 2013; 31(3):64-65
© 2014 R Gopal, TP Elamurugan, SS Prasad Das, S Hage, R Muthukumarassamy, V Kate, A Ramesh, published by The College of Surgeons of Sri Lanka
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