Article Text

Download PDFPDF
Case report
Retrograde jejunogastric intussusception presenting as haematemesis in a patient following pancreaticoduodenectomy
  1. Tyson A Moore,
  2. Yahya Al-Habbal and
  3. Julian M Choi
  1. Department of Surgery, Western Health, Footscray, Victoria, Australia
  1. Correspondence to Yahya Al-Habbal; yahya{at}


Intussusception is defined as the invagination of one part of the gastrointestinal tract into another. Jejunogastric intussusception is a rare phenomenon following major upper abdominal surgery, where its aetiology is not well understood. We describe a 68-year-old woman who presented with abdominal pain and haematemesis on the background of a previous pancreaticoduodenectomy (Whipple procedure) for pancreatic cancer. Gastroscopy demonstrated retrograde jejunogastric intussusception, where part of the efferent jejunal limb had prolapsed into the remnant stomach. As a consequence, this intussuscepted segment had become oedematous and ischaemic. The patient subsequently underwent a laparotomy, where the original gastrojejunostomy was resected, which showed the intussuscepted jejunum. The non-viable portion was removed and a Roux-en-Y anastomosis was created. This case highlights the need to ‘think outside the box’ with respect to differential diagnoses when a patient presents with abdominal pain on the background of previous complex abdominal surgery.

  • surgery
  • general surgery
View Full Text

Statistics from


  • Contributors Below are the names of all of the authors for this case report, detailing their specific contributions in the production of this manuscript. TAM: this author was responsible for compiling patient information and images, organising patient consent, writing the manuscript and editing the manuscript. YAH: this author was responsible for providing analytical input on the case report findings, and editing the manuscript. JMC: this author was responsible for overall supervision of the case report, conception of the case report, obtaining intraoperative photographs and editing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.