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Case Reports

Retrograde jejuno-gastric intussusception following Billroth II gastrectomy with Braun's jejuno-jejunostomy

Authors:

R Gopal,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry
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TP Elamurugan,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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SS Prasad Das,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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S Hage,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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R Muthukumarassamy,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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V Kate ,

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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A Ramesh

Department of Surgery and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, IN
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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

DOI: http://dx.doi.org/10.4038/sljs.v31i3.5191

How to Cite: Gopal, R. et al., (2014). Retrograde jejuno-gastric intussusception following Billroth II gastrectomy with Braun's jejuno-jejunostomy. Sri Lanka Journal of Surgery. 31(3), pp.64–65. DOI: http://doi.org/10.4038/sljs.v31i3.5191
Published on 25 Jan 2014.
Peer Reviewed

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