Feeding Jéjunostomy and Intestinal Intussusception: About a Case
Published: 2021-03-16
Page: 204-207
Issue: 2021 - Volume 4 [Issue 1]
Rebbani Mohammed *
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Mohamed Bouzroud
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Faisal El Mouhafid
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Yasser El brahmi
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Mohammed Elfahssi
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Abderrahman Elhajouji
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Abdelmounaim Ait Ali
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
Aziz Zentar
Departement of Rabat-Visceral Surgery, Mohamed V Military Hospital, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Jejunostomy is an important adjunct procedure in surgery that facilitates early enteral feeding and maintains a satisfying nutritional intake in undernourished patients. However, it is associated with complications especially bowel obstruction by intussusception that is an exceptional surgical emergency in adults. We report the case of a patient who underwent a partial gastrectomy for antrum adenocarcinoma with insertion of a feeding jejunostomy. Postoperative courses were marked by intestinal intussusception on jejunostmy tube. Clinical and biological contribution to diagnosis was nonspecific. The abdominal CT scan examination evoked the diagnosis by showing a small bowel occlusion in upstream of “target” picture around the feeding tube. Surgical treatment was the resection of the intestine, remaking the foot of the loop, wide washing and drainage. By this case, we aim to bring clinical, biological, radiological and therapeutic specificities of this rare complication.
Keywords: Feeding jejunostomy, intestinal intussusceptions, intestinal intussusceptions « target » picture, intestinal resection.