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BMJ Case Reports 2011; doi:10.1136/bcr.05.2011.4256
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Severe type of adult jejunal intussusception caused by long intestinal tube in a patient with intestinal obstruction due to cecal carcinoma

  1. Kei Shiraishi2
  1. 1Surgery Department, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
  2. 2Gastroenterology Department, Kokura Memorial Hospital, Kitakyushu, Fukuoka, Japan
  1. Correspondence to Dr Takahisa Fujikawa, fujikawa-t{at}kokurakinen.or.jp

Description

A 74-year-old male presented with abdominal cramping and emesis. A CT and colonoscopy revealed dilated jejunum and ileum due to advanced cecal cancer. A long intestinal tube was progressed via nasogastric route for intestinal decompression, and the patient’s symptoms were temporarily relieved. On day 7, the patient again developed signs and symptoms of obstruction. A repeated CT scan revealed that the ileum was almost decompressed but a severe jejuno-jejunal intussusception associated with …

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