Abstract
A 65-year-old man underwent investigation for weight loss and vomiting, and he was diagnosed with esophagogastric junctional cancer. Total gastrectomy, transhiatal lower thoracic resection, and Roux-en-Y reconstruction were then performed. For postoperative nutritional therapy, a 12 Fr jejunostomy tube was inserted. On the 18th postoperative day, CT examination for unremitting fever showed the target sign at the intestine where the jejunostomy tube was placed, and intussusception was suspected. An initial attempt at repair was made with a gastrointestinal fiberscope, but it failed, and emergency surgery was performed. From the portion 10 cm from the anastomosis of the jejunojejunostomy, the intestine was intussuscepted over 10 cm. The Hutchinson procedure was attempted for repair, but the intestinal wall was injured. Therefore, a partial intestinal resection of 10 cm including the injured part was performed. The patient's course after re-operation was uneventful, and he was discharged on the 13th day after reoperation. This case of a relatively rare adult intussusception caused by a jejunostomy tube is reported.
