Feeding Jéjunostomy and Intestinal Intussusception: About a Case

Abstract

Jejunostomy is an important adjunct procedure in surgery that facilitates early enteral feeding and maintains a satisfying nutritional intake in undernourished patients. However, it is associated with complications especially bowel obstruction by intussusception that is an exceptional surgical emergency in adults. We report the case of a patient who underwent a partial gastrectomy for antrum adenocarcinoma with insertion of a feeding jejunostomy. Postoperative courses were marked by intestinal intussusception on jejunostmy tube. Clinical and biological contribution to diagnosis was nonspecific. The abdominal CT scan examination evoked the diagnosis by showing a small bowel occlusion in upstream of “target” picture around the feeding tube. Surgical treatment was the resection of the intestine, remaking the foot of the loop, wide washing and drainage. By this case, we aim to bring clinical, biological, radiological and therapeutic specificities of this rare complication.