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作 者:Maarten WJ Winters Sjoerd Kramer Albert HA Mazairac Ewoud H Jutte Paul G van Putten
机构地区:[1]Department of Gastroenterology and Hepatology,Medical Center Leeuwarden,Leeuwarden 8934 AD,Netherlands [2]Department of Radiology,Medical Center Leeuwarden,Leeuwarden 8934 AD,Netherlands [3]Department of Surgery,Medical Center Leeuwarden,Leeuwarden 8934 AD,Netherlands
出 处:《World Journal of Gastrointestinal Surgery》2022年第6期621-625,共5页世界胃肠外科杂志(英文版)(电子版)
摘 要:BACKGROUND In adults,bowel intussusception is a rare diagnosis and is mostly due to an organic bowel disorder.In rare cases,this is a complication of a percutaneously placed endoscopic gastro(jejunostomy)catheter.CASE SUMMARY We describe a case of a 73-year-old patient with a history of myocardial infarction,chronic idiopathic constipation and Parkinson’s disease.For the admission of his Parkinson’s medication,a percutaneous endoscopic gastrostomy with jejunal extension(PEG-J)was placed.The patient presented three times at the emergency department of the hospital with intermittent abdominal pain with nausea and vomiting.There were no distinctive abnormalities from the physical and laboratory examinations.An abdominal computed tomography scan showed a small bowel intussusception.By push endoscopy,a jejunal bezoar at the tip of the PEG-J catheter was found to be the cause of small bowel intussusception.The intussusception was resolved after removing the bezoar during push enteroscopy.CONCLUSION Endoscopic treatment of bowel intussusception caused by PEG-J catheter bezoar.
关 键 词:Bowel intussusception Percutaneous endoscopic gastrojejunostomy BEZOAR Percutaneous endoscopic gastrostomy Case report
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