Jang W I, Kim N D, Bae S W, Kim W T, Kwon S O, Yoon K S, Kim S Y
Department of Internal Medicine and General Surgery, Wonju Medical College, Yonsei University, Korea.
J Korean Med Sci. 1989 Mar;4(1):51-4. doi: 10.3346/jkms.1989.4.1.51.
A case of retrograde intussusception (acute type) of efferent limb into Braun side-to-side jejuno-jejunal anastomosis is presented. Intussusception, though infrequent, is well recognized complication after gastric surgery. Patient was 50 year old man who was admitted with epigastric pain and abdominal mass for 6 hours. Patient had a history of total gastrectomy 2 years before admission due to stage II gastric cancer. Seven hours after admission, hematemesis developed. Emergency fiberopticgastroscopy revealed type 4 jejunogastric intussusception. Segmental resection with end-to-end reanastomosis was performed.
本文报道一例输出袢逆行套叠至布劳恩氏空肠侧侧吻合口(急性型)的病例。套叠虽是胃部手术后较少见但已被充分认识的并发症。患者为一名50岁男性,因上腹部疼痛和腹部肿块入院6小时。患者在入院前2年因II期胃癌行全胃切除术。入院7小时后出现呕血。急诊纤维胃镜检查发现4型空肠胃套叠。遂行节段性切除并端端再吻合术。