Case Report of Obstructive Jejuno-Jejunal Intususception with Ischemia of Involved Bowel Segment

Dr Sanjay Kumar, Dr Mohan, Dr Anupam Jhobta

Abstract: Enteroenteric intussusceptions are common in children and relatively rare adult. They can be classified as duodeno-jejunal, jejuno-jejunal, or jejuno-ileal. Duodenojejunal intussusception is rare, because of anatomic fixation of a large portion of the duodenum.1 Most cases of small bowel intussusceptions are secondary to benign intra-or extraluminal lesions, such as inflammatory lesions, Meckel?s diverticulum2, postoperative adhesions, lipoma, and adenomatous polyps.3Nintypercentcases of childhood intussusception is idiopathic, however 70?90% of adult cases have a demonstrable lead point, with a well-definable neoplastic abnormality being the etiology in 65% of cases.4, 5we reporting a case of 12 years old male patient with complain of vomiting and pain abdomen for 1 month with non passage of stool for 3 days. X ray and CECT Abdomen was done in emergency and diagnosis of obstructive jejuno-jejunal intussusception with bowel ischemia was kept. Diagnosis was confirmed on surgery with jejunumpolypas the lead point.

Keywords: Jejunal, mickel's diverticulum, intussusception