Jejunogastric intussusception: Case report and review of the literature

Jejunogastric intussusception is a rare and potentially serious complication of gastrojejunostomy and gastrectomy. The clinical presentation of epigastric pain, vomiting, hematemesis and upper abdominal mass in a patient with previous gastrointestinal operation is almost diagnostic. Upper gastrointestinal scopy is a highly diagnostic investigation. Other radiological investigations like barium meal studies, ultrasonography and computed tomography scan may prove helpful. There are two modalities of treatment, either by endoscopic reduction of the intussuscepting loop or by surgical intervention. The majority of the patients require surgical intervention. We present here a case of chronic jejunogastric intussusception developed in a patient following gastro‐jejunostomy, which was diagnosed by barium meal study and endoscopy. The patient was successfully treated by operative reduction through anterior gastrotomy. A side‐to‐side jejuno‐jejunostomy was done for prevention of recurrence.