Two Episodes of Retrograde Jejunogastric and Jejunojejunal Intussusceptions as a Complication of Gastrostomy Tube in a Child: A Case Report

Abstract

Gastrostomy tubes are frequently used to provide enteral access in some pediatric patients. Serious long-term complications are rare. The case-report here is a 12 years-old neurologically impaired child who had gastrostomy done for pharyngeal incoordination, presented eight years later with intestinal obstruction and upper gastrointestinal bleeding. Various imaging modalities were utilized and showed a retrograde jejuno-gastric intussusception around the gastrostomy tube. Six days after laparotomy and manual reduction, a perforated recurrent jejuno-jejunal intussusception occurred. Series of subsequent interventions were followed. This report aims to raise awareness of this uncommon but potential lethal complication concurrently with a discussion on diagnosis and management. We also provided a set of associated and useful imaging which is the important diagnostic tool.