위절제술 후 발생한 역행성 장중첩증
Retrograde Jejunogastric Intussusception: A Rare Complication of Gastric Surgery
강원근, 이도경, 이병욱, 최경현,
소속 상세정보
강원근 ( Kang Won-Geun )
고신대학교 복음병원 외과학교실
이도경 ( Lee Do-Kyung )
고신대학교 복음병원 일반외과
이병욱 ( Lee Bheong-Uk )
고신대학교 복음병원 일반외과
최경현 ( Choi Kyung-Hyun )
고신대학교 복음병원 외과학교실
KMID : 0371320020620060508
Abstract
Retrograde jejunogastric intussusception is a rare complication of gastric surgery. We report a case of retrograde jejunogastric intussusception that developed after a gastric resection. The patient was a 62 years old female patient who
complained
severe epigastric pain, vomiting and hematemesis. She had a gastric resection and Billroth Ⅱ anastomosis performed using the Braun procedure 6 months prior because of early gastric cancer. At the time of admission, the plain abdomen revealed an
ileus
change, but the vital signs and symptoms had worsened. An emergency operation was therefore performed and a strangulated retrograde jejunogastric intussusception of efferent loop was discovered. Surgical management consisted of a segmental
resection of
the jejunum. It is recommended that treatment be done as early as possible in order to prevent a strangulation of the invaginated segment. This case illustrates the rare complications of a type 2b retrograde jejunogastric intussusception that
developed
more than 6 months after a gastric resection and a BillrothⅡ anastomosis using the Braun procedure.
키워드
위절제술; 공장공장 장중첩증; Billroth Ⅱ 문합; Gastrectomy; Jejunogastric intussusception; BillrothⅡ anastomosis;
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