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
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.
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.
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.
Small bowel obstruction caused by intussusception after gastric bypass is a surgical emergency.
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