Abstract
Recent experience with two cases of postgastrectomy jejunal intussusception in which CT played an important role in diagnosing is described with a review of the literature.
Case 1: A 66-year-old man was admitted to the hospital because of an attack of upper abdominal pain and hematcemesis. Laparotomy was performed 54 hours after the onset. After resection of the necrotic intestine, the intact parts were end-to-end anastomosed.
Case 2: A 48-year-old man was admitted to the hospital because of repeated upper abdominal pain and vomiting. No symptomatic remission could be attained by conservative therapy, so laparotomy and reduction were performed.
There was a previous history of gastrectomy in both cases. After uneventful 20 years, case 1 developed this disease with acute course and the other with chronic course. Like these 2 cases, there are two different types in jejunal intussception after gastrectomy, acute and chronic, so its diagnosis is not easy. Some characteristics in CT scan, however, are especially useful in the diagnosis of this disease. We have to take careful consideration to this disease when we examine post gastrectomy onset of upper abdominal pain.
