An Unusual Cause of Overt Upper GI Bleeding: Retrograde Jejunogastric Intussusception

Abstract

Retrograde jejunogastric intussusception is a well-recognized, rare, but potentially life threatening long-term complication of gastrojejunostomy. Diagnosis of this condition is difficult in most cases. We report on such a patient who presented with overt upper gastrointestinal bleeding. The complication developed thirty years after the primary surgery without history of acute upper abdominal pain in spite of a long segment of gangrenous jejunum inside the stomach. Resection and refashioning of the gastrojujenostomy was performed.