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The report details a 63-year-old man with unresectable gastric cardia adenocarcinoma who received exploratory laparotomy and feeding jejunostomy followed by palliative chemotherapy. Within days, progressive distension and obstructive signs developed; abdominal CT demonstrated small-bowel dilation and a characteristic target sign at the ileocecal valve. Surgical exploration confirmed intussusception and bowel resection was performed, underscoring early imaging and timely intervention to prevent ischemic complications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-rare-twist-intussusception-triggered-by-a-jejunostomy-tube-case-report/432898/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-rare-twist-intussusception-triggered-by-a-jejunostomy-tube-case-report/432898.png","ImageObject",300,407,{"name":92,"@type":93},"Rainbow Cat","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is jejunostomy-related intussusception considered rare?","Question",{"text":112,"@type":113},"It is an exceptionally rare postoperative complication, reported as accounting for less than 1% of all small-bowel obstructions after feeding jejunostomy.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What imaging feature supports the diagnosis in this case?",{"text":117,"@type":113},"Abdominal CT revealed small-bowel dilation and a characteristic “target” or “bull’s-eye” sign at the ileocecal valve, with the jejunostomy tube visible within the intussuscepted segment.",{"name":119,"@type":110,"acceptedAnswer":120},"How did clinicians approach treatment and what was the goal?",{"text":121,"@type":113},"The standard adult approach is definitive surgical management with possible resection, but in this narrative conservative care with corticosteroids and close monitoring was used in the described patient when surgery was high risk; early imaging and timely intervention were emphasized to avoid ischemic complications.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},432898,1790719363,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},962090769181,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Radiology Ca s e Reports 21 (2026) 1096 – 1098  \nAvailable online [at](at www.sciencedirect.com)[ www.sciencedirect.com](at www.sciencedirect.com)  \njournal [homepage:](homepage: www.elsevier.com/locate/radcr)[ www.elsevier.com/locate/radcr](homepage: www.elsevier.com/locate/radcr)  \n| Case Report\u003Cbr>A rare twist: Intussusception triggered by a jejunostomy tube✩\u003Cbr>Chakir Mahfouda,∗, Hatim Essabera, Anwar Kalalia, Hamza Charifa,b, Fatima Zahra Laamrania, Youssef Omora, Rachida Latiba, Sanae Amalika\u003Cbr>a Department of Radiology, National Institute of Oncology, Mohammed V University, Rabat, Morocco b Department of medical Oncology, National Institute of Oncology, Mohammed V University, Rabat, Morocco |  |  |\n| --- | --- | --- |\n| a r t i c l e i n f o |  | a b s t r a c t |\n| Article history:\u003Cbr>Received 1 June 2025 Revised 16 November 2025 Accepted 17 November 2025 |  | Jejunostomy-related intussusception is an exceptionally rare postoperative complication, accounting for less than 1% of all small-bowel obstructions. It may result from mechanical irritation or altered motility around the feeding tube. We describe the case of a 63-year-oldman with unresectable adenocarcinoma of the gastric cardia who underwent exploratory laparotomy with placement of a feeding jejunostomy, followed by palliative chemotherapy. A few days after surgery, he developed progressive abdominal distension and clinical signs of bowel obstruction. Abdominal CT revealed small-bowel dilatation and a characteristic “target sign’’ at the ileocecal valve, consistent with intussusception induced by the jejunostomy tube. Surgical exploration confirmed the diagnosis, and bowel resection was performed. This case underscores the importance of considering intussusception as a potential cause of postoperative bowel obstruction in patients with feeding jejunostomy and highlights the crucial role of early imaging and timely surgical intervention in preventing ischemic complications.\u003Cbr>© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.\u003Cbr>This is an open access article under the CC BY license\u003Cbr>([http://creativecommons.org/licenses/by/4.0/](http://creativecommons.org/licenses/by/4.0/)) |\n| Keywords: Intussusception Jejunostomy tube Target sign\u003Cbr>Small-bowel obstruction |  |  |\n\nIntroduction  \nIntussusception, first described by Barbette in 1674 and later detailed by John Hunter in 1789, is an uncommon cause of bowel obstruction in adults, representing approximately 1%-5% of cases. Unlike pediatric intussusception—which is usually idiopathic and often resolves with non-operative  \nreduction—adult intussusception is typically secondary to an identifiable pathological lead point, such as neoplasms, Meckel’s diverticulum, or inflammatory strictures. Because of the high association with malignancy, reported in up to 65% of cases, preoperative radiologic reduction is generally not recommended [1] . As a result, definitive surgical management, often involving bowel resection, remains the standard of care for most adult patients.  \n✩ Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.  \n∗ Corresponding author.  \nE-mail [address:](address: Cmahfoud847@gmail.com)[ Cmahfoud847@gmail.com](address: Cmahfoud847@gmail.com) (C. Mahfoud).  \n[https://doi.org/10.1016/j.radcr.2025.11.050](https://doi.org/10.1016/j.radcr.2025.11.050)  \n1930-0433/© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington. This is an open access article under the CC BY license ([http://creativecommons.org/licenses/by/4.0/](http://creativecommons.org/licenses/by/4.0/))  \nFig. 1 – Axial abdominal CT scan showing the classic“target sign’’(white arrow) consistent with intestinal intussusception around a feeding jejunostomy tube.  \nCase presentation  \nWe report the case of a 63-year-old man with no significant prio","cbCaiaea46qgWlkw","https://ap.wps.com/l/cbCaiaea46qgWlkw","pdf",706647,"English","# Case Report\n## Introduction\n## Case presentation\n## Imaging findings\n## Management and outcome","[{\"question\":\"Why is jejunostomy-related intussusception considered rare?\",\"answer\":\"It is an exceptionally rare postoperative complication, reported as accounting for less than 1% of all small-bowel obstructions after feeding jejunostomy.\"},{\"question\":\"What imaging feature supports the diagnosis in this case?\",\"answer\":\"Abdominal CT revealed small-bowel dilation and a characteristic “target” or “bull’s-eye” sign at the ileocecal valve, with the jejunostomy tube visible within the intussuscepted segment.\"},{\"question\":\"How did clinicians approach treatment and what was the goal?\",\"answer\":\"The standard adult approach is definitive surgical management with possible resection, but in this narrative conservative care with corticosteroids and close monitoring was used in the described patient when surgery was high risk; early imaging and timely intervention were emphasized to avoid ischemic complications.\"}]","A rare twist: Intussusception triggered by a jejunostomy tube - Case Report | PDF",1790661825]