2020 Volume 45 Issue 6 Pages 817-824
A 46-year-old man presented to our hospital with abdominal pain and nausea under the diagnosis of ileus. Abdominal CT revealed a tumor of the ascending colon accompanied by bowel obstruction. Symptoms were relieved successfully by decompression using a long intestinal tube. Eight days after insertion of the tube, the patient complained of left upper abdominal pain of acute onset. Physical examination revealed localized rebound tenderness and muscle guarding. Bloody discharge was observed from the tube. CT revealed intussusception of the jejunum. Emergency operation was performed on the same day. Intraoperatively, a jejuno-jejunal intussusception measuring 30 cm in length was observed, while no tumor as a potential cause was identified, suggesting that the intussusception was caused by the long intestinal tube. The necrosed segment of the intestine was resected. Right hemicolectomy was also performed for ascending colon cancer. Intussusception caused by an ileus tube is relatively uncommon. Herein, we report a case of intussusception caused by a long intestinal tube, with a review of the literature.
