Radiologic Diagnosis of Retrograde Jejunogastric Intussusception: Report of a Case

空腸與胃之逆行性腸套疊的放射線診斷－病例報告

陳偉斌(Wai-Bun Chan) ； 楊斐適(Fei-Shih Yang) ； 大田生穗(I Kuho Ohta) ； 馬玉章(Yei-Chang Ma)

《中華放射線醫學雜誌》 20卷1期 (1995/03) Pp. 85-88

摘要

空腸與胃之逆行性腸套疊為胃空腸吻合術之罕見併發症，其非特異性臨床表現令術前診斷困難，若無儘速之外科治療，延遲診斷將造成致死率增加。
本病例為突發性腹痛和嘔吐，曾於二十多年前因消化性潰瘍接受胃空腸吻合術，且術前病患之腹部放射線攝影顯示遠端空腸包括球狀和分葉的腫塊有不正常的擴大；經口服鋇劑放射線檢查，最後診斷為傳出腸段的空腸與胃之逆行性腸套疊。

關鍵字

胃腸道，攝影術 ； 腸套疊，胃，手術

並列摘要

Retrograde jejunogastric intussusception is a rare complication of Billroth Ⅱ subtotal gastrectomy. The non-specific clinical manifestation makes pre-operative diagnosis difficult 'but as delay in diagnosis raises the mortality rate. Treatment surgically as soon as possible is essential. This report concerns a patient with past history of Biliroth Ⅱ subtotal gastrectomy because of peptic ulcer more than 20 years ago; he was admitted with abrupt onset of abdominal pain and vomiting. After roentgen UGI barium meal study, jejunogastric intussusception of the efferent loop was eventually diagnosed. It should be emphasized that this patient's plain abdominal, pre-operative film showed abnormal dilated proximal jejunum including a round and lobulated mass leading to the diagnosis of jejunogastric intussusception.

並列關鍵字

Gastrointestinal tract, radiography ； intussusception, stomach, surgery