Abstract
A 62-year-old disabled male with cerebral palsy, developed paralytic ileus, and was treated with the insertion of a long intestinal tube. His abdominal distension decreased, and four days later, we performed the long intestinal tube imaging. The small intestine gas disappeared, and the tip of the long intestinal tube was advancing to the ascending colon. Five days later, the discharge from the long intestinal tube changed became bloody, and the patient was complicated with disseminated intravascular coagulation (DIC). Contrast-enhanced abdominal CT showed abnormal hypertrophy and a gas in the small intestine wall. We diagnosed intussusception due to the long intestinal tube with small intestine necrosis, and emergency surgery was performed. Intussusception in the jejunum was resolved by manual reduction, and 140 cm of necrotic jejunum from Treitz’s ligament was resected. We experienced a rare case of intussusception as a complication of placement of a long intestinal tube.
