Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report
Abstract Background For infants who need long-term enteral feeding but are unable to maintain sufficient oral intake, feeding gastrostomy tube placement is required. The use of a Foley catheter as a replacement catheter in a Stamm gastrostomy is indicated in the absence of dedicated gastrostomy feed...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-022-02336-4 |
| _version_ | 1811243541342453760 |
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| author | Feride Mehmetoğlu |
| author_facet | Feride Mehmetoğlu |
| author_sort | Feride Mehmetoğlu |
| collection | DOAJ |
| description | Abstract Background For infants who need long-term enteral feeding but are unable to maintain sufficient oral intake, feeding gastrostomy tube placement is required. The use of a Foley catheter as a replacement catheter in a Stamm gastrostomy is indicated in the absence of dedicated gastrostomy feeding tubes; however, this approach has been associated with many morbidities. In this report, an unusual case of an infant who underwent a major operation due to coiled spring jejunal intussusception caused by Foley catheter migration is described. Case presentation A 6-month-old neurologically impaired premature female patient was admitted to the emergency unit with respiratory distress, nonbilious vomiting and an ineffective gastrostomy feeding tube. Her history revealed that, at the age of 2 months, she had undergone Stamm gastrostomy for enteral feeding with a Pezzer catheter. However, at the age of 5 months, the Pezzer catheter became dislodged and was replaced with a Foley catheter. The patient subsequently underwent emergent exploratory laparotomy due to intestinal obstruction. During the operation, retrograde coiled spring jejunal intussusceptions with multiple areas of local necrosis and perforations were observed. Resection of the affected jejunal segment and end-to-end anastomosis were performed. The postoperative period was long and very demanding due to the presence of several comorbidities. To our knowledge, this is the first operative demonstration of coiled spring intussusception. Conclusion This case report aims to increase clinical awareness of the possibility of coiled spring intussusception following the use of Foley catheter in a gastrostomy and the difficulties encountered in the surgical course of a premature infant. |
| first_indexed | 2024-04-12T14:10:12Z |
| format | Article |
| id | doaj.art-da6de85a3e7b43e6a6ccccb0f2f08b47 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-04-12T14:10:12Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-da6de85a3e7b43e6a6ccccb0f2f08b472022-12-22T03:29:56ZengBMCBMC Gastroenterology1471-230X2022-06-012211610.1186/s12876-022-02336-4Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case reportFeride Mehmetoğlu0Department of Pediatric Surgery, Dortcelik Children’s HospitalAbstract Background For infants who need long-term enteral feeding but are unable to maintain sufficient oral intake, feeding gastrostomy tube placement is required. The use of a Foley catheter as a replacement catheter in a Stamm gastrostomy is indicated in the absence of dedicated gastrostomy feeding tubes; however, this approach has been associated with many morbidities. In this report, an unusual case of an infant who underwent a major operation due to coiled spring jejunal intussusception caused by Foley catheter migration is described. Case presentation A 6-month-old neurologically impaired premature female patient was admitted to the emergency unit with respiratory distress, nonbilious vomiting and an ineffective gastrostomy feeding tube. Her history revealed that, at the age of 2 months, she had undergone Stamm gastrostomy for enteral feeding with a Pezzer catheter. However, at the age of 5 months, the Pezzer catheter became dislodged and was replaced with a Foley catheter. The patient subsequently underwent emergent exploratory laparotomy due to intestinal obstruction. During the operation, retrograde coiled spring jejunal intussusceptions with multiple areas of local necrosis and perforations were observed. Resection of the affected jejunal segment and end-to-end anastomosis were performed. The postoperative period was long and very demanding due to the presence of several comorbidities. To our knowledge, this is the first operative demonstration of coiled spring intussusception. Conclusion This case report aims to increase clinical awareness of the possibility of coiled spring intussusception following the use of Foley catheter in a gastrostomy and the difficulties encountered in the surgical course of a premature infant.https://doi.org/10.1186/s12876-022-02336-4Coiled spring jejunal intussusceptionsFoley catheter migrationStamm gastrostomyPrematurityCase report |
| spellingShingle | Feride Mehmetoğlu Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report BMC Gastroenterology Coiled spring jejunal intussusceptions Foley catheter migration Stamm gastrostomy Prematurity Case report |
| title | Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report |
| title_full | Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report |
| title_fullStr | Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report |
| title_full_unstemmed | Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report |
| title_short | Retrograde coiled spring jejunal intussusception in an infant due to Foley catheter gastrostomy: a case report |
| title_sort | retrograde coiled spring jejunal intussusception in an infant due to foley catheter gastrostomy a case report |
| topic | Coiled spring jejunal intussusceptions Foley catheter migration Stamm gastrostomy Prematurity Case report |
| url | https://doi.org/10.1186/s12876-022-02336-4 |
| work_keys_str_mv | AT feridemehmetoglu retrogradecoiledspringjejunalintussusceptioninaninfantduetofoleycathetergastrostomyacasereport |