Biagini J, Mourad K, Semaan D, Helou E
Service de Chirurgie Géneral, Hôpital Saint-Joseph, Dora.
Ann Radiol (Paris). 1991;34(3):207-9.
Jejunogastric intussusception is a rare complication after gastric surgery. The authors report a case of acute jejunogastric intussusception diagnosed in a 57-year-old woman, 22 years after vagotomy and gastroenterostomy for duodenal ulcer. There are three types of jejunogastric intussusception: 1) the acute type, presenting as a surgical emergency, and characterized by a sudden onset of cramp-like epigastric pain, followed by nausea and vomiting, with a palpable epigastric mass. 2) the chronic recurrent type, which may progress to the acute type of may result in severe disability, and may require corrective surgery depending on the severity of the symptoms. 3) the acute post-operative type, presenting on the 4th or 5th post-operative day, and usually improving with conservative treatment.
空肠胃套叠是胃部手术后一种罕见的并发症。作者报告了一例57岁女性急性空肠胃套叠病例，该患者在因十二指肠溃疡行迷走神经切断术和胃肠吻合术22年后被诊断为此病。空肠胃套叠有三种类型：1）急性型，表现为外科急症，特征为突发上腹部绞痛样疼痛，随后出现恶心和呕吐，上腹部可触及肿块。2）慢性复发性类型，可能进展为急性型，可能导致严重残疾，可能需要根据症状严重程度进行矫正手术。3）急性术后型，出现在术后第4天或第5天，通常通过保守治疗可改善。
