Retrograde Intussusception of the Common Channel After Gastric Bypass
R. Wesley Vosburg, MD1,2, James Wallace, MD, PGY3 2,3, Dominic Recco, MD, PYG2, 2,3,
1Mount Auburn Hospital, MA; 2Harvard Medical School, Boston MA; 3Beth Israel Deaconess Medical Center, Boston, MA
Background:
Small bowel obstruction caused by intussusception after gastric bypass is a rare complication. It represents a surgical emergency and prompt diagnosis and treatment are very important.
Methods:
We present a video based case presentation of a patient who presented on post operative day 4 from a total knee arthroplasty with signs and symptoms of a bowel obstruction. CT scan revealed a retrograde intussusception of the common channel as the underlying etiology.
Results:
The patient was taken emergently to the operating room. Laparoscopic reduction of the intussusception was unsuccessful. Open reduction was similarly not achieved to a resection and reconstruction of the jejunojejunostomy was carried out.
Conclusion:
Small bowel obstruction caused by intussusception after gastric bypass is a surgical emergency.
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