Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Jejunogastric intussusception prone to misdiagnosis as gastric cancer

  • Park, Yong-Eun (Department of Surgery, Yeungnam University Hospital) ;
  • Kim, Sang-Woon (Department of Surgery, Yeungnam University College of Medicine)
  • Received : 2020.01.30
  • Accepted : 2020.03.31
  • Published : 2020.07.31
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Abstract

The authors report a case of a 78-year-old female with a history of gastric surgery 35 years ago. She was initially misdiagnosed as gastric cancer bleeding and underwent an emergency laparotomy under the diagnosis of jejunogastric intussusception (JGI), 23 hours after the onset of symptoms. We also reviewed 116 JGI case reports and analyzed clinical features and outcomes. Compared to the past, diagnosis of JGI is easier with diagnostic examinations such as an endoscopy, computed tomography, and the upper gastrointestinal series. And a good prognosis can be expected with proper fluid resuscitation and surgical reduction, even if the symptoms persist more than 48 hours.

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References

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