Madhavan S, Augustine A
Department of General Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education , Karnataka , India.
Ann R Coll Surg Engl. 2018 Sep;100(7):e165-e167. doi: 10.1308/rcsann.2018.0079. Epub 2018 Jun 18.
Intussusception is a rare cause for postoperative intestinal obstruction. We report a case of intussusception in the early postoperative period following resection of proximal jejunum and end to end anastomosis. Computed tomography showed jejunal intussusception, which was confirmed on exploration. The anastomotic site was acting as the lead point, which was resected after reduction and reanastomosed in a single layer. The patient had uneventful recovery. Very few similar cases are reported in the literature and all the reported cases are following free jejunal transfer for pharyngo-oesophageal reconstruction.
肠套叠是术后肠梗阻的罕见原因。我们报告一例在近端空肠切除并端端吻合术后早期发生肠套叠的病例。计算机断层扫描显示为空肠套叠，术中探查得以证实。吻合部位作为套叠头部，复位后切除，然后单层重新吻合。患者恢复顺利。文献中报道的类似病例很少，且所有报道的病例均为游离空肠转移用于咽食管重建术后。
