Intussusception at the Site of Feeding Jejunostomy: A Rare Complication

Abstract

Intussusceptions accounts for 1% of all bowel obstructions in adults. Feeding jejunostomy (FJ) is a common procedure done for enteral feeding as an adjunct. Intussusception is a rare complication after FJ. We have encountered a case of 18 yr old female patient with FJ done for enteral feeding post corrosive acid ingestion. He presented with upper abdominal symptoms of vomiting and pain two months after the FJ. Ultrasound abdomen at the time of presentation was normal. A CT scan was done as the symptoms did not regress on conservative management, which showed sausage shaped mass with bowel in bowel configuration s/o intussusception with small bowel obstruction pattern. Emergency exploratory laparotomy was done which confirmed jejuno-jejunal intussusception with FJ as lead point. Surgical reduction of intussusceptions and revision FJ was done. Postoperative period was uneventful. Even though Jejunostomy tube-induced intussusceotion is rare with an incidence of 1%, it should be considered in an FJ patient with upper abdominal symptoms.