DOI: 10.12890/2022_003161
Jejunal Intussusception Caused by a Nasointestinal Ileus Tube
Authors
junpei0919@yahoo.co.jp
Keywords
Intussusception, nasointestinal ileus tubeAbstract
A 79-year-old man was admitted to our hospital due to pleural empyema. After 4 weeks of antimicrobial therapy and pleural drainage, he recovered but complained of new-onset abdominal pain. Abdominal computed tomography revealed adhesive small bowel obstruction and a nasointestinal ileus tube with intermittent suction was inserted. This procedure initially decreased his abdominal pain, but severe abdominal pain and vomiting developed 3 days later. Repeat abdominal computed tomography revealed jejuno-jejunal intussusception due to the nasointestinal ileus tube. Our patient was initially treated conservatively. However, he underwent surgical reduction due to clinical deterioration 1 day after diagnosis and died from a surgical complication 19 days later. Intussusception is a rare but fatal complication caused by placement of a nasointestinal ileus tube in the small intestine. Because urgent operative reduction is needed to avoid intestinal resection in most cases, early diagnosis and surgical reduction of intussusception are critical.
References
- Peskin SR, Langevin Jr RE, Banks PA. Proximal jejunal intussusception associated with a long tube. Dig Dis Sci 1986;31(6):657–60.
- Poppel MH. Ileal intussusception as result of intestinal intubation. JAMA 1959;169(11):1189–90.
- Redmond P, Ambos M, Berliner L, Pachter HL, Megibow A. Iatrogenic intussusception: a complication of long intestinal tubes. Am J Gastroenterol 1982;72(1):39–42.
