RETROGRADE JEJUNOGASTRIC INTUSSUSCEPSION – REPORTING A RARE CASE.

Abstract

Retro grade jejunogastric intussusception is a rare condition, that follows after any sort of  gastrojejunal  anastomosis, where the loop of jejunum intussuscepts into the cavity of stomach through  the anastomotic stoma. It is so rare that less than 200 cases have been reported till now in literature since it was first reported in 1914. A patient was referred to our endoscopy centre for Upper GI endoscopy on 2^nd day of hospital admission with a  H/O pain abdomen and haematamesis. diagonostic  endoscopy  spotted the condition rapidly. A non gangrenous but contused retrograde jejunogastric  intussusception (RJGI) was possible to diagnose within a short time of hospital admission by UGI endoscopy. A delayed diagnosis always caries  high mortality in these cases. Patients with H/O previous stomach operation presenting with upper abdominal pain and  With or without haematamesis should rise the clinical suspicion of Retrograde  jejunogastric intussception and diagnostic UGI endoscopy should be done as soon as possible .It is most rapid diagnostic method  for RJGI and thus saving the patient from delayed  intervention and high mortality.