Furuya Y, Wakahara T, Akimoto H, Long CM, Yanagie H, Yasuhara H. A case of postoperative recurrent intussusception associated with indwelling bowel tube. World J Gastrointest Surg 2010; 2(3): 85-88 [PMID: 21160855 DOI: 10.4240/wjgs.v2.i3.85]
Corresponding Author of This Article
Yoshitaka Furuya, MD, PhD, Department of Surgery, Sodegaura Satsukidai Hospital, 5-21 Nagauraekimae, Sodegaura, Chiba 299-0246, Japan. furuya@mail.satsuki-kai.or.jp
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Case Report
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Furuya Y, Wakahara T, Akimoto H, Long CM, Yanagie H, Yasuhara H. A case of postoperative recurrent intussusception associated with indwelling bowel tube. World J Gastrointest Surg 2010; 2(3): 85-88 [PMID: 21160855 DOI: 10.4240/wjgs.v2.i3.85]
Yoshitaka Furuya, Takashi Wakahara, Harutoshi Akimoto, Chu Manh Long, Department of Surgery, Sodegaura Satsukidai Hospital, 5-21 Nagauraekimae, Sodegaura, Chiba 299-0246, Japan
Hironobu Yanagie, Cooperative Unit of Medicine and Engineering Research, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
Hiroshi Yasuhara, Surgical Center, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
Author contributions: Furuya Y and Wakahara T wrote the paper; Akimoto H and Long CM collected and analyzed the data; Yanagie H and Yasuhara H critically revised the paper for important intellectual content.
Correspondence to: Yoshitaka Furuya, MD, PhD, Department of Surgery, Sodegaura Satsukidai Hospital, 5-21 Nagauraekimae, Sodegaura, Chiba 299-0246, Japan. furuya@mail.satsuki-kai.or.jp
Telephone: +81-438-621113 Fax: +81-438-636213
Received: September 7, 2009 Revised: November 12, 2009 Accepted: November 19, 2009 Published online: March 27, 2010
Abstract
Intussusception is quite uncommon in adults. We report a rare case of a 76-year-old man with small bowel intussusception induced by two indwelling bowel tubes, the first a jejunal feeding tube and the second an ileus tube. After complete reduction of the first intussusception caused by the jejunal feeding tube and adhesion, re-intussusception occurred due to the postoperative adhesion and ileus tube inserted into the bowel after the previous operation for intussusception. Finally, the part of the jejunum with re-intussusception and adhesion, including the place where the previous reduced intussusception had occurred, was resected. This case is a reminder that when there is no mucosal lesion other than an indwelling bowel tube or a hard adhesion/inflammation around intussusception, the patient should be operated on without delay for resection of the intussusception to prevent re-intussusception, even if the resected bowel is predicted to be long.
