Anastomotic jejunojejunal intussusception after gastric bypass surgery
Diagnosis certain
Presentation
A patient with a history of Roux-en-Y gastric bypass has been referred for crampy abdominal pain.
Patient Data
Age: 30 years
Gender: Female
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Info
Target appearance at the entrance of distal jejunal loop to proximal part of the jejuno-jejunal anastomosis is seen.
Roux-en-Y gastric bypass is seen.
There is a hypodense lesion with discontinued peripheral nodular enhancement in the right liver lobe compatible with a hemangioma.
Case Discussion
Jejunojejunal intussusception is an uncommon long-term complication after Roux-en-Y gastric bypass. It could cause abdominal pain and obstruction. CT scan is believed to be highly sensitive.
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