2019 Volume 39 Issue 5 Pages 887-890
We report herein on a case of invagination induced twice by a long decompression tube (LT). A 20-year-old man during treatment for ulcerative colitis developed a bowel obstruction caused by acute appendicitis with an abdominal abscess. The bowel obstruction was treated with an LT, however, it relapsed after removal of the LT. An LT was reinserted; however, the bowel obstruction was not released, and the patient subsequently underwent a laparotomy. Three lesions of antegrade invagination were observed in the jejunum and we released them with Hutchinson’s maneuver. Considering the risk of ileus, we did not remove the LT. However, the bowel obstruction due to invagination relapsed. He underwent reoperation, and the antegrade invagination in the jejunum was released. The LT was removed intraoperatively. After that, recurrence of invagination was not observed. LT removal or negative pressure aspiration has been reported to induce retrograde invagination. Our case was a rare disease condition with an antegrade invagination, however, such cases require urgent attention.
