Severe type of adult jejunal intussusception caused by long intestinal tube in a patient with intestinal obstruction due to cecal carcinoma

Fujikawa, Takahisa; Tada, Seiichiro; Shiraishi, Kei

doi:10.1136/bcr.05.2011.4256

Cited by 1 publication

(7 citation statements)

References 3 publications

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“…5,6 When the obstruction is caused by the intestinal wall lesion itself and not a parenteral factor, intussusception is prone to appear as the tube advances, which may be due to asymmetric peristalsis. 7 Water-soluble contrast X-ray and CT examinations are helpful for making a correct and timely diagnosis. Multidetector CT is well suited to delineate the presence of the disease and provides valuable information about the site of the intussusception, the intestinal segments involved, and the extent of the intussuscepted bowel.…”

Section: Discussionmentioning

confidence: 99%

“…Several case reports have described jejunostomy tube-induced intussusception, but fewer cases of intussusception caused by a nasointestinal ileus tube have been published. Four recent reports have described five cases of intussusception induced by a nasointestinal ileus tube 5 – 8 ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…One theory of nasointestinal ileus tube-induced intussusception is that folds of the small intestine may telescope over the long tube because of ongoing propulsive peristalsis over a severely dilated proximal intestine. 7 Asymmetric peristalsis of the intestinal wall in the presence of a bowel obstruction may also lead to intussusception. 6 We propose that the anterior balloon of the nasointestinal ileus tube might act as a leading point to drag the bowel.…”

Section: Discussionmentioning

confidence: 99%

“… 4 However, five cases of intussusception caused by nasointestinal ileus tube placement have been reported since the 1980s. 5 – 8 The symptoms of intussusception caused by nasointestinal ileus tube placement are usually so atypical and uncommon that no general treatment guideline has been established for this type of intussusception. Nevertheless, nasointestinal ileus tubes are being applied increasingly more routinely for adhesive SBO.…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics of nasointestinal ileus tube-induced intussusception: three case reports and a literature review

2019

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Placement of a nasointestinal ileus tube or long tube for gastrointestinal decompression is a new and effective treatment for small bowel obstruction. Such tubes are associated with very few adverse effects. However, several cases of intussusception caused by a nasointestinal ileus tube have been reported. No general diagnosis or treatment guideline has been established for such a complication. We herein present three cases of intussusception caused by nasointestinal ileus tube placement along with a literature review that summarizes some important clinical characteristics of nasointestinal ileus tube-induced intussusception. A diagnosis of intussusception should be considered if severe abdominal pain and distension recur after insertion of a nasointestinal ileus tube. Computed tomography may assist making the diagnosis, especially in patients with typical features such as the “Target sign,” “Glasses sign,” or “Mickey Mouse sign.” Although nasointestinal ileus tube-induced intussusception is rare, clinicians should give more attention to the risk of this complication.

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Section: Discussionmentioning

confidence: 99%