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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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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
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Author Contributions
Amine Naggar - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Chirihan Ayadi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hamza Retal - Conception of the work, Design of the work, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hounayda Jerguigue - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Youssef Omor - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rachida Latib - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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.
