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

1 of 2 DESCRIPTION A 74-year-old male presented with abdominal cramping and emesis. A CT and colonoscopy revealed dilated jejunum and ileum due to advanced cecal cancer. A long intestinal tube was progressed via nasogastric route for intestinal decompression, and the patient’s symptoms were temporarily relieved. On day 7, the patient again developed signs and symptoms of obstruction. A repeated CT scan revealed that the ileum was almost decompressed but a severe jejuno-jejunal intussusception associated with the long tube was observed ( fi gure 1 ). Due to the patient’s clinical deterioration, abdominal exploration was performed and, in addition to a cecal mass, a severe antegrade jejuno-jejunal intussusception with pressure necrosis around the tube was separately found ( fi gure 2 ). Right hemi-colectomy and partial jejunal resection were performed. After stormy postoperative course, the patient developed severe aspiration Images in...