Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report

Most cases of intussusception in adults are secondary to a pathologic condition that serves as a lead point. Intussusception has been reported in the bariatric literature, typically due to intussusception of the jejunojejunostomy. However, other causes of intussusception should be considered, includ...

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Main Authors: Jonathan S Abelson, Harma Turbendian, Alfons Pomp, Cheguevera Afaneh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=4;spage=271;epage=272;aulast=Abelson
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author Jonathan S Abelson
Harma Turbendian
Alfons Pomp
Cheguevera Afaneh
author_facet Jonathan S Abelson
Harma Turbendian
Alfons Pomp
Cheguevera Afaneh
author_sort Jonathan S Abelson
collection DOAJ
description Most cases of intussusception in adults are secondary to a pathologic condition that serves as a lead point. Intussusception has been reported in the bariatric literature, typically due to intussusception of the jejunojejunostomy. However, other causes of intussusception should be considered, including a Meckel′s diverticulum (MD). Simple diverticulectomy or segmental resection is the preferred treatment since the malignancy rate is low. We present an interesting case of a patient with past surgical history of open Roux-en-Y gastric bypass who presented with intussusception. Intraoperatively, an MD was encountered and treated with diverticulectomy. 4 months later, she re-presented with recurrent intussusception and was subsequently taken back to the operating room for revision of her jejunojejunostomy. The postoperative course was uncomplicated.
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spelling doaj.art-e3b6c1ee86db4fb192610349fa200cdc2022-12-21T18:29:46ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212015-01-0111427127210.4103/0972-9941.158158Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case reportJonathan S AbelsonHarma TurbendianAlfons PompCheguevera AfanehMost cases of intussusception in adults are secondary to a pathologic condition that serves as a lead point. Intussusception has been reported in the bariatric literature, typically due to intussusception of the jejunojejunostomy. However, other causes of intussusception should be considered, including a Meckel′s diverticulum (MD). Simple diverticulectomy or segmental resection is the preferred treatment since the malignancy rate is low. We present an interesting case of a patient with past surgical history of open Roux-en-Y gastric bypass who presented with intussusception. Intraoperatively, an MD was encountered and treated with diverticulectomy. 4 months later, she re-presented with recurrent intussusception and was subsequently taken back to the operating room for revision of her jejunojejunostomy. The postoperative course was uncomplicated.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=4;spage=271;epage=272;aulast=AbelsonGastric bypassintussusceptionMeckel′s diverticulum
spellingShingle Jonathan S Abelson
Harma Turbendian
Alfons Pomp
Cheguevera Afaneh
Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
Journal of Minimal Access Surgery
Gastric bypass
intussusception
Meckel′s diverticulum
title Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
title_full Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
title_fullStr Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
title_full_unstemmed Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
title_short Recurrent intussusception in a gastric bypass patient with incidental Meckel′s diverticulum: A case report
title_sort recurrent intussusception in a gastric bypass patient with incidental meckel s diverticulum a case report
topic Gastric bypass
intussusception
Meckel′s diverticulum
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=4;spage=271;epage=272;aulast=Abelson
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AT alfonspomp recurrentintussusceptioninagastricbypasspatientwithincidentalmeckelsdiverticulumacasereport
AT chegueveraafaneh recurrentintussusceptioninagastricbypasspatientwithincidentalmeckelsdiverticulumacasereport