Ola Messaoud, Zahra El Mansoury Fatima, Amine Cherraqi, Omar El Aoufir, Laila Jroundi, Zahra Laamrani Fatima
Emergency Radiology Department of the University Hospital Ibn Sina, Rabat, Morocco.
SAGE Open Med Case Rep. 2024 Jul 24;12:2050313X241266425. doi: 10.1177/2050313X241266425. eCollection 2024.
The management of gastrointestinal complications in patients with complex medical history poses significant challenges to healthcare clinicians. A 42-year-old male patient was admitted to the emergency department with excruciating abdominal pain and signs of bowel obstruction. The patient had a previous history of schizophrenia and esophageal stricture, treated 6 years ago with colonic esophageal interposition. From the computed tomography scan, intussusception of the jejunum in the colonic graft was revealed, which resolved spontaneously after a few hours probably due to the oral contrast. Although, colonic esophageal interposition is a life-saving procedure for long-esophageal strictures, there are rare complications that are still not clearly reported. Jejunocolic intussusception should raise awareness of the clinicians, as one of the potential complications of colonic esophageal interposition.
对于有复杂病史的患者，胃肠道并发症的管理给医护人员带来了重大挑战。一名42岁男性患者因剧烈腹痛和肠梗阻迹象被送往急诊科。该患者既往有精神分裂症和食管狭窄病史，6年前接受了结肠代食管术治疗。计算机断层扫描显示结肠移植物中发生空肠套叠，可能由于口服造影剂，数小时后自行缓解。尽管结肠代食管术是治疗长段食管狭窄的救命手术，但仍有一些罕见并发症尚未得到明确报道。空结肠套叠作为结肠代食管术的潜在并发症之一，应引起临床医生的重视。
