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Retrograde intussusception after Roux-en-Y hepaticojejunostomy for choledochal cyst

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Abstract

The authors report the first documented case of a retrograde jejunojejunal intussusception after a Roux-en-Y hepaticojejunostomy for choledochal cyst in a 2-year-old girl. She suffered from obstructive jaundice and ileus; the jaundice was alleviated but the ileus worsened after conservative treatment, and abdominal computed tomography demonstrated an intussusception and gangrene of the bowel. Surgery confirmed the presence of a retrograde jejunojejunal intussusception at the previous end-to-side anastomosis, with a dilated Roux limb and proximal duodenojejunal segment. Intestinal obstruction in a jaundiced child following Roux-en-Y anastomosis may be due to a retrograde intussusception as well as a stricture of the hepaticojejunostomy or adhesive ileus.

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Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China

    Chie-Song Shieh & Jiin-Haur Chuang

  2. Department of Pediatrics, Chang Gung Memorial Hospital at Kaohsiung, 123 Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, Republic of China

    Shou-Chin Huang

Authors
  1. Chie-Song Shieh
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  2. Jiin-Haur Chuang
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  3. Shou-Chin Huang
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Shieh, CS., Chuang, JH. & Huang, SC. Retrograde intussusception after Roux-en-Y hepaticojejunostomy for choledochal cyst. Pediatr Surg Int 10, 398–399 (1995). https://doi.org/10.1007/BF00182238

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  • DOI: https://doi.org/10.1007/BF00182238

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