Asian Journal of Case Reports in Surgery

Small Bowel Intussusception after Feeding Jejunostomy: A Rare Complication of a Common Procedure

Shahbaz H. Faridi

Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Noha Rehman *

Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Yugant Gupta

Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Sarthak S. Chaudhary

Department of Surgery, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Bushra Siddiqui

Department of Pathology, JN Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

*Author to whom correspondence should be addressed.

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Abstract

Feeding jejunostomy is a surgical procedure in which a tube is inserted inside the lumen of the proximal part of jejunum to provide enteral nutrition to the patient. It is associated with few complications; small bowel intussusception is one of its rarest complications reported in the literature. We report a case of a 45 year old male patient who presented to us with complaints of absolute dysphagia due to carcinoma of esophagus for which we performed feeding jejunostomy for palliation. The procedure was uneventful and he was discharged when he tolerated the feed through the jejunostomy tube. 3 days later he developed features of intestinal obstruction and computed tomography of abdomen revealed the diagnosis of jejunojejunal intussusception. Laparotomy was done and the finding of jejunojejunal intussusception was confirmed at the feeding jejunostomy site with feeding tube acting as the lead point. Surgical reduction of intussusception was done and feeding jejunostomy was revised. Owing to the rare complication of intussusception in a commonly done surgical procedure this case is being reported here.

Keywords: Feeding jejunostomy, feeding tube, intestinal obstruction, intussusception, lead point.

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