ALSubhi Morooj, Al Harbi Abdulrahman, Alkhunein Jullanar S
Department of Medical Imaging, King Abdulaziz Medical City, Ministry of National Guard-Heath Affairs, Riyadh, SAU.
Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Cureus. 2024 Aug 11;16(8):e66644. doi: 10.7759/cureus.66644. eCollection 2024 Aug.
Jejunojejunal intussusception is a rare yet severe complication of Roux-en-Y gastric bypass (RYGBP) surgery. We are presenting a unique case of retrograde jejunal intussusception with a closed-loop blockage and an associated abdominal herniation that occurred two years after a laparoscopic RYGBP. The patient presented with abdominal pain, nausea, and vomiting, prompting a clinical diagnosis and a biphasic contrast-enhanced computed tomography (CT) scan, which later revealed a complicated jejunal intussusception with signs of ischemia showing decreased wall enhancement and distal collapsed jejunal walls with complete closed-loop bowel obstruction. The case was successfully managed through emergent laparoscopy to repair the hernia and reduce the intussusception, after which the postoperative period was unremarkable. This article aims to raise awareness about this rare but significant postoperative complication and stress the importance of early medical attention in similar cases.
空肠空肠套叠是Roux-en-Y胃旁路术（RYGBP）一种罕见但严重的并发症。我们报告了一例独特的逆行性空肠套叠病例，伴有闭环梗阻和相关的腹部疝，该病例发生在腹腔镜RYGBP术后两年。患者出现腹痛、恶心和呕吐，促使进行临床诊断和双期对比增强计算机断层扫描（CT），结果后来显示为复杂的空肠套叠，伴有缺血迹象，表现为肠壁强化减弱以及远端空肠壁塌陷，伴有完全性闭环肠梗阻。该病例通过急诊腹腔镜手术成功处理，修复了疝并复位了套叠，术后恢复顺利。本文旨在提高对这种罕见但重要的术后并发症的认识，并强调在类似病例中早期医疗关注的重要性。
