Vol 5 No 11 (2019): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)
Articles

Intestinal intussusception secondary to jejunal adhesions in adult : a rare cause of postoperative obstruction

Randimbinirina ZL
Chirurgien, Ancien Interne des Hôpitaux en Chirurgie générale – Faculté de Médecine d’Antananarivo
Rasoaherinomenjanahary F
Chirugien digestif – Ancien Chef de Clinique – Faculté de Médecine d’Antananarivo
Solo CE
Chirurgien, Ancien Interne des Hôpitaux en Chirurgie viscérale – Faculté de Médecine d’Antananarivo
Meliny ZA
Interne des Hôpitaux en Chirurgie générale – Faculté de Médecine d’Antananarivo
Ravalisoa MLA
Professeur Titulaire en Chirurgie Cardio-vasculaire – Faculté de Médecine d’Antananarivo
Samison LH
Professeur Titulaire en Chirurgie viscérale – Faculté de Médecine d’Antananarivo
Published November 20, 2019
Keywords
  • Gastric bypass,
  • Intestinal obstruction,
  • Intussusception,
  • Postoperative periods,
  • Tissues adhesions
How to Cite
Randimbinirina ZL, Rasoaherinomenjanahary F, Solo CE, Meliny ZA, Ravalisoa MLA, & Samison LH. (2019). Intestinal intussusception secondary to jejunal adhesions in adult : a rare cause of postoperative obstruction. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 5(11), 01-11. Retrieved from https://ephjournal.com/index.php/mhs/article/view/1576

Abstract

Although intussusception is always seen in children, its occurrence in adults is an exceptional situation. Postoperative intussusception is uncommon and few cases have been reported in the literature. We present the case of a 51-year-old woman with jejunal postoperative intussusception.  She underwent gastrojejunal anastomosis for pyloric stenosis two weeks earlier. The symptomatology was a bowel obstruction, which was initially thought to be an early postoperative adhesions. The lack of improvement despite medical treatment led to a surgical exploration that helped to the right diagnosis. Intussusception has been related to  jejunal adhesions. Manual reduction was made with removal of adhesions. Postoperative period was uneventful. Adult intussusception is uncommon, often caused by tumors. Early surgical revision is the rule to avoid nutritional impact of a chronic postoperative subocclusion. 

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