PMC7508682_01
Computed tomography: The presence of mesenteric fat within a bowel suggests intussusception (arrow). The long tube is also inside the small bowel.
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Unfortunately, the symptoms continued for days after surgery, and repeated CT scan on postoperative day 7 revealed a recurred intussusception of the small intestine (Fig. 1).
Contrast fluoroscopy of the jejunum: Note the proximal lumen (yellow arrows) and the contour of the distal lumen (white arrows) of the intussuscepted jejunum.
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The contrast fluoroscopy performed while moving the long tube confirmed the position of the intussusception at the same site where we performed the primary reduction (Fig. 2).
Intraoperative findings: Intussusception (white arrow) and the dilation of the proximal jejunum (yellow arrows).
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Non-operative management was not successful, so a reoperation was performed and the segment of the small intestine involved in the intussusception was resected (Fig. 3, Fig. 4).
Gross pathological findings: Multiple cystic lesions are noted inside the small bowel. Lymphangioma was noted in the areas 1, 2, 5 and 7.
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The gross pathological examination of the opened specimen of the resected bowel showed several cystic lesions inside the small intestine, that were judged to be the lead point of the intussusception (Fig. 5).