Published online Jun 27, 2022. doi: 10.4240/wjgs.v14.i6.621
Peer-review started: November 25, 2021
First decision: January 8, 2022
Revised: January 23, 2022
Accepted: May 16, 2022
Article in press: May 16, 2022
Published online: June 27, 2022
Processing time: 213 Days and 18.2 Hours
In adults, bowel intussusception is a rare diagnosis and is mostly due to an organic bowel disorder. In rare cases, this is a complication of a percutaneously placed endoscopic gastro (jejunostomy) catheter.
We describe a case of a 73-year-old patient with a history of myocardial infarction, chronic idiopathic constipation and Parkinson’s disease. For the admission of his Parkinson’s medication, a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) was placed. The patient presented three times at the emergency department of the hospital with intermittent abdominal pain with nausea and vomiting. There were no distinctive abnormalities from the physical and laboratory examinations. An abdominal computed tomography scan showed a small bowel intussusception. By push endoscopy, a jejunal bezoar at the tip of the PEG-J catheter was found to be the cause of small bowel intussusception. The intussusception was resolved after removing the bezoar during push enteroscopy.
Endoscopic treatment of bowel intussusception caused by PEG-J catheter bezoar.
Core Tip: In patients with a proximal feeding catheter and complaints of acute or intermittent abdominal pain, intussusception must be considered. An abdominal computed tomography scan is recommended for additional investigation. If small bowel intussusception is present/suspected, we recommend first investigating the cause via gastroscopy/push enteroscopy and, if possible, treating it endoscopically immediately so that surgery can be prevented.