Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Apr 22;6(5):e00060.
doi: 10.14309/crj.0000000000000060. eCollection 2019 May.

Intussusception After Pancreaticoduodenectomy

Kishan Patel  1 , Anjuli Luthra  2 , Fasika Aberra  2 , Luis F Lara  2 , Darrell Gray 2nd  2
Affiliations

Intussusception After Pancreaticoduodenectomy

Kishan Patel et al. ACG Case Rep J. .

Abstract

Intussusception after pancreaticoduodenectomy (Whipple procedure) is exceedingly rare. We present a case of retrograde jejunal intussusception into the gastric lumen in a patient who previously underwent Whipple procedure. Diagnostic endoscopy may serve to confirm intussusception, identify a potential lead point, and, in some cases, endoscopically reduce the intussusception. Ultimately, however, surgical management is recommended due to a high rate of recurrence along with the potential to detect a lead point and associated malignancy.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
(A) Transverse and (B) coronal abdominal computed tomography, showing the intussuscepted small bowel extending through the enterogastric anastomosis site into the residual stomach.
Figure 2.
Figure 2.
Esophagogastroduodenoscopy revealed (A) afferent jejunal loop intussusception extending into the residual stomach and (B) a dusky and erythematous bowel from the jejunal loop intussusception (arrow).
See this image and copyright information in PMC

References

    1. Whipple OC, Stringer EF, Senkowski CK, Hartley M. Retrograde intussusception of the efferent limb after a pancreaticojejunostomy. Am Surg. 2003;69:353–5. - PubMed
    1. Gigena M, Villar HV, Knowles NG, Cunningham JT, Outwater EK, Leon LR. Antegrade bowel intussusception after remote Whipple and Puestow procedures for treatment of pancreas divisum. World J Gastroenterol. 2007;13:5954–6. - PMC - PubMed