Jejunal Intussusception Caused by a Nasointestinal Ileus Tube

Komagamine, Junpei; Noritomi, Daichi

doi:10.12890/2022_003161

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…In previous literature, intussusceptions induced by feeding catheters have been reported (16)(17)(18). However, the exact mechanism of intussusception due to the involvement of catheter is not understood.…”

Section: Discussionmentioning

confidence: 99%

Abdominal catheter-induced intussusception following renal transplantation in two pediatric recipients: 2 cases report and literature review

Gao¹,

Liu²,

Zhang³

et al. 2023

Transl Pediatr

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Background: Intussusception is a frequent abdominal emergency in the pediatric population when the proximal bowel invaginates into the distal bowel. However, catheter-induced intussusception has not previously been described in pediatric renal transplant recipients, and the risk factors need to be investigated.Case Description: We report 2 cases of post-transplant intussusception which were caused by abdominal catheters. Case 1 experienced ileocolonic intussusception 3 months after renal transplantation and presented with intermittent abdominal pain; the intussusception was successfully managed using air enema. However, this child experienced a total of 3 episodes of intussusception within 4 days, which discontinued only after removal of the peritoneal dialysis catheter. No further intussusception recurrence was observed and the patient's intermittent pain disappeared during the follow-up. Case 2 developed ileocolonic intussusception 2 days after renal transplantation and presented currant jelly stools. The intussusception was completely irreducible until the intraperitoneal drainage catheter was eliminated; the patient discharged normal feces during the following days. A search in the databases of PubMed, Web of Science, and Embase yielded 8 similar cases. Our 2 cases had a younger age at disease onset than those retrieved in the search, and

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Section: Discussionmentioning

confidence: 99%

Abdominal catheter-induced intussusception following renal transplantation in two pediatric recipients: 2 cases report and literature review

Gao¹,

Liu²,

Zhang³

et al. 2023

Transl Pediatr

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“…Compared to a gastric tube, a transnasal ileus tube is more effective at decompression for patients with intestinal obstruction (5). According to previous reports, jejunal intussusception has been reported as a complication associated with ileus tube placement (6)(7)(8). However, rupture of the weighted tip of an ileus tube has not been reported before.This study reports a rare rupture of the ileus tube in a patient with recurrent rectal cancer, and discusses the diagnosis and prevention associated with this case.…”

mentioning

confidence: 99%

Case report: Rupture of an ileus tube in a patient with recurrent rectal cancer

Ma,

Jiang,

Zhou

et al. 2023

Front. Oncol.

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The insertion of an ileus tube is an important treatment for intestinal obstruction. According to previous reports, jejunal intussusception has been reported as a complication associated with ileus tube placement. However, rupture of the weighted tip of an ileus tube has not been reported before. Herein, we report a 55-year-old Chinese woman who underwent radical proctectomy (DIXON) for rectal cancer and developed pelvic recurrence and lung metastasis 65 months after surgery, accompanied by symptoms of acute intestinal obstruction. An ileus tube was inserted before the operation (extensive total hysterectomy, bilateral adnexal resection, rectal Hartman operation, partial enterectomy, and intestinal adhesion lysis). Rupture of the ileus tube occurred after the operation and was treated with paraffin oil and enteral nutrition, and the metal beads and spring were eliminated through the colostomy. During the follow-up, the patient received targeted therapy plus immunotherapy, which was successful: the quality of life of the patient was excellent, and no obvious abnormal symptoms were found. Endoscopy-assisted ileus tube insertion should be performed under intravenous anesthesia, and a knot should be tied at the tip of the ileus tube before insertion so that the ileus tube can be inserted easily by grasping the thread with biopsy forceps(the “thread-knotting” method). With the above methods, the procedure of ileus tube insertion could be improved to reduce the incidence of tube-related rupture.

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Jejunal Intussusception Caused by a Nasointestinal Ileus Tube

Cited by 2 publications

References 2 publications

Abdominal catheter-induced intussusception following renal transplantation in two pediatric recipients: 2 cases report and literature review

Abdominal catheter-induced intussusception following renal transplantation in two pediatric recipients: 2 cases report and literature review

Case report: Rupture of an ileus tube in a patient with recurrent rectal cancer

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