O'Dell K B, Gordon R S, Victory C
Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina.
Ann Emerg Med. 1992 May;21(5):565-7. doi: 10.1016/s0196-0644(05)82526-0.
We report the case of a 61-year-old man with a history of a Bilroth II procedure who presented to the emergency department after 12 hours of severe epigastric pain and one episode of coffee-ground emesis. Computed tomography and esophagogastroduodenoscopy revealed intussuscepted jejunum through a gastrojejunostomy that required emergency operative reduction. This case illustrates the rare complication of acute jejunogastric intussusception more than 20 years after a Bilroth II procedure.