Retrograde Jejunojejunal Intussusception Presenting as Hematemesis

Kang,  Dong Baek; Lee,  Seok Youn; Oh,  Jung Taek; Park,  Won Cheol; Lee,  Jeong Kyun; Seo,  Geom Seog; Choi,  Suck Chei

J Korean Soc Emerg Med > Volume 22(4); 2011 > Article

Case Report

Journal of The Korean Society of Emergency Medicine 2011;22(4): 362-366.

Retrograde Jejunojejunal Intussusception Presenting as Hematemesis

Dong Baek Kang, Seok Youn Lee, Jung Taek Oh, Won Cheol Park, Jeong Kyun Lee, Geom Seog Seo, Suck Chei Choi

¹Digestive Disease Institute and Institute of Medical Science, Wonkwang University College of Medicine, Iksan, Korea. rjk@wonkwang.ac.kr
²Department of Surgery and Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.

ABSTRACT

Retrograde jejunal intussusception is a rare complication following gastric surgery. Unless this complication is suspected, diagnosis is very difficult. Early diagnosis is very important in preventing avoidable morbidity and mortality. Awareness of this rare complication would help in early diagnosis and appropriate management. We present a case of an 84-year-old woman who visited the emergency department with hematemesis. Endoscopy and a computed tomography scan revealed a retrograde jejunojejunal intussusception, which was treated by surgical manual reduction.

Key words: Intussusception, Retrograde, Hematemesis, Endoscopy