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Case Report
Small bowel perforation consecutive to feeding jejunostomy: A case report
1 MD, Radiology Department, Oncology National Institute, Rabat, Morocco
2 Professor, Radiology Department, Oncology National Institute, Rabat, Morocco
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Amine Naggar
Lot Sanabil, Route Mehdia, Salé,
Morocco
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Article ID: 101350Z01AN2022
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How to cite this article
Naggar A, Ayadi C, Retal H, Jerguigue H, Omor Y, Latib R. Small bowel perforation consecutive to feeding jejunostomy: A case report. Int J Case Rep Images 2022;13(2):156–159.ABSTRACT
Introduction: Feeding jejunostomy is a rather safe procedure. Major complications are rare, but can be serious, nevertheless.
Case Report: We report a case of a 57-year-old male, diagnosed with epidermoid carcinoma of the larynx. The patient received 3 cures of induction chemotherapy before being lost to follow-up. One year later, the patient presented with significant dysphagia and benefited from a feeding jejunostomy utilizing the Witzel technique. Postoperative course was marked by abdominal tenderness, and hemodynamic and respiratory impairment. Lab tests showed a continuous elevation of markers of infection. Computed tomography (CT) scan revealed an extradigestive distal end of the jejunostomy tube, associated with a voluminous pneumoperitoneum, predominant around the tube end, keeping with a small bowel perforation. The evolution was marked by respiratory fatigue, and hemodynamic instability. The patient, unfortunately died subsequently, despite maximal supportive measures.
Conclusion: Computed tomography (CT) scan is a helpful tool for the diagnosis of feeding jejunostomy’s major complications besides physical examination and biology. Limiting the indications of this surgical procedure and being attentive to surgical details may help reduce the risk of complications.
Keywords: Abdomen CT, Complications, Enteral nutrition, Jejunostomy, Surgery
SUPPORTING INFORMATION
Author Contributions
Amine Naggar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Chirihan Ayadi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Hamza Retal - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published
Hounayda Jerguigue - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Youssef Omor - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rachida Latib - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Amine Naggar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
