Caruso Giovambattista, Toscano Chiara, Gangemi Mariapia, Evola Giuseppe, Reina Carlo, Reina Giuseppe Angelo
General Surgery Department, Santissimo Salvatore Hospital (ASP Catania), Paternò, Catania, Italy.
General Surgery Department, Santissimo Salvatore Hospital (ASP Catania), Paternò, Catania, Italy.
Int J Surg Case Rep. 2021 Dec;89:106666. doi: 10.1016/j.ijscr.2021.106666. Epub 2021 Dec 7.
Jejunogastric intussusception following gastric surgery is a rare complication that, if not diagnosed early, can have catastrophic outcomes.
We have reported a case, never described previously, of an acute spontaneous retrograde JGI, presenting with obstruction and hematemesis, in a 70-year-old woman who has never, previously, undergone abdominal surgery.
As in all cases of intestinal intussusception, early diagnosis is important for acute JGI as mortality rates increase from 10% when the intervention occurs within 48 h. to 50% if treatment is delayed for 96 h. The diagnosis of JGI can be determined with many imaging studies, such as endoscopy, ultrasonography (US), barium stadium and CT scan. Although JGI, up to now, has been described as a rare complication after any type of gastric surgery, this disease must, however, be suspected also in patients who have never undergone abdominal surgery, if they present with non-sedable abdominal pain associated with signs of high intestinal obstruction and hematemesis.
Our hope is to add to the available literature to aid physicians in their diagnostic work-up and in developing management plans for similar cases occurring in the future.
胃手术后空肠胃套叠是一种罕见的并发症，如果不及早诊断，可能会产生灾难性后果。
我们报告了一例此前从未描述过的急性自发性逆行性空肠胃套叠病例，患者为一名70岁女性，既往从未接受过腹部手术，表现为肠梗阻和呕血。
与所有肠套叠病例一样，急性空肠胃套叠的早期诊断很重要，因为干预在48小时内进行时死亡率为10%，如果治疗延迟至96小时，死亡率则升至50%。空肠胃套叠的诊断可以通过多种影像学检查来确定，如内镜检查、超声检查（US）、钡剂造影和CT扫描。尽管迄今为止，空肠胃套叠被描述为任何类型胃手术后的罕见并发症，但对于从未接受过腹部手术的患者，如果出现与高位肠梗阻体征和呕血相关的难以缓解的腹痛，也必须怀疑患有这种疾病。
我们希望为现有文献增添内容，以帮助医生进行诊断检查，并为未来发生的类似病例制定管理计划。
