2019 Volume 39 Issue 1 Pages 095-098
We report on a very elderly patient with postoperative jejunal intussusception. A 93-year-old female patient was admitted to our hospital with lower abdominal pain, and abdominal CT revealed ileus due to an incarcerated right obturator hernia. Emergency surgery was performed. On day 3 post-surgery, the patient developed paralytic ileus, and a long intestinal tube was inserted for relief of the postoperative paralytic ileus. However, the ileus failed to improve. On day 9 post-surgery, the patient developed high fever (39℃). Enhanced abdominal CT revealed the target sign in the left abdomen. We diagnosed jejunal intussusception and performed a second operation. We detected antegrade intussusception with necrosis 60 cm distal to the Treitz ligament and performed partial resection of the ileum. The patient made steady progress after the second operation.
