A 50-year-old woman with a history of open gastric bypass presented with epigastric pain, emesis and no flatus or bowel movement for 12 hours. Her abdomen was not distended with normal bowel sounds and mild epigastric tenderness to palpation. Abdominal X-ray shows a markedly dilated loop of jejunum.
The patient was taken to the operating room where a 14-cm segment of intussuscepted jejunum was found. Gentle milking was unsuccessful at reducing the intussusception and a resection was performed with a stapled anastomosis.
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