To report a rare case of jejunogastric intussusception with torsion occurring 17 years after subtotal gastrectomy.
Approach:
Case Presentation: A 65-year-old man presented with acute abdominal pain, vomiting, and hematemesis after subtotal gastrectomy. Imaging revealed jejunogastric intussusception with torsion.
Surgical Intervention: Emergency laparotomy was performed, revealing extensive adhesions and a 360° clockwise torsion of the efferent loop. Surgical procedures included adhesiolysis, resection of necrotic bowel, and jejunojejunostomy.
Key Findings:
Jejunogastric intussusception with torsion is a rare but serious complication post-gastrectomy.
The patient presented with acute abdominal pain, vomiting, and hematemesis, with imaging confirming the diagnosis.
Emergency laparotomy revealed extensive adhesions and a 360° clockwise torsion of the efferent loop, necessitating surgical intervention.
Interpretation:
Jejunogastric intussusception with torsion should be considered in patients with a history of gastrectomy presenting with acute abdominal symptoms.
Limitations:
The case is a single report and may not represent the broader population.
Long-term outcomes beyond the 6-month follow-up are not discussed.
Conclusion:
The patient recovered without complications and remained asymptomatic at 6-month follow-up.
