Intussusception following feeding jejunostomy in a post-esophagectomy patient: a rare complication and its surgical management

Feeding jejunostomy is performed commonly following esophagectomy to ensure postoperative nutritional support. However, it can occasionally lead to rare complications, such as intussusception. Adult intussusception, especially secondary to a feeding jejunostomy, is an uncommon occurrence. Timely diagnosis and surgical intervention are essential to treat this potentially life-threatening condition. We report a 69-year-old male, who has received neoadjuvant chemoradiotherapy followed by a thoraco-laparoscopic Ivor Lewis esophagectomy and a feeding jejunostomy. The immediate postoperative course was uneventful. However he presented with acute abdominal symptoms at 6 weeks. A contrast-enhanced computed tomography scan of the abdomen revealed intussusception at the site of the feeding jejunostomy. The patient underwent emergency exploratory laparotomy, where the diagnosis was confirmed, and resection and anastomosis of the involved bowel segment was performed. This case highlights a rare complication of jejunostomy-induced intussusception. A high index of suspicion and prompt surgical management are crucial to prevent adverse outcomes in such cases.