Park Yong-Eun, Kim Sang-Woon
Department of Surgery, Yeungnam University Hospital, Daegu, Korea.
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Yeungnam Univ J Med. 2020 Jul;37(3):236-241. doi: 10.12701/yujm.2020.00038. Epub 2020 Apr 6.
The authors report a case of a 78-year-old female with a history of gastric surgery 35 years ago. She was initially misdiagnosed as gastric cancer bleeding and underwent an emergency laparotomy under the diagnosis of jejunogastric intussusception (JGI), 23 hours after the onset of symptoms. We also reviewed 116 JGI case reports and analyzed clinical features and outcomes. Compared to the past, diagnosis of JGI is easier with diagnostic examinations such as an endoscopy, computed tomography, and the upper gastrointestinal series. And a good prognosis can be expected with proper fluid resuscitation and surgical reduction, even if the symptoms persist more than 48 hours.
作者报告了一例78岁女性患者，该患者35年前有胃手术史。她最初被误诊为胃癌出血，在症状出现23小时后，经诊断为空肠胃套叠（JGI）而接受了急诊剖腹手术。我们还回顾了116例JGI病例报告，并分析了其临床特征和治疗结果。与过去相比，通过内镜检查、计算机断层扫描和上消化道造影等诊断检查，JGI的诊断更容易。而且，即使症状持续超过48小时，通过适当的液体复苏和手术复位，也有望获得良好的预后。
