Intussusception After Pancreaticoduodenectomy

ACG Case Rep J. 2019 Apr 22;6(5):e00060. doi: 10.14309/crj.0000000000000060. eCollection 2019 May.

Abstract

Intussusception after pancreaticoduodenectomy (Whipple procedure) is exceedingly rare. We present a case of retrograde jejunal intussusception into the gastric lumen in a patient who previously underwent Whipple procedure. Diagnostic endoscopy may serve to confirm intussusception, identify a potential lead point, and, in some cases, endoscopically reduce the intussusception. Ultimately, however, surgical management is recommended due to a high rate of recurrence along with the potential to detect a lead point and associated malignancy.