Background Intussusception of the blind ileal stump is an extremely rare late complication of Scopinaro biliopancreatic diversion. Diagnosis is challenging because symptoms may be intermittent and radiological imaging frequently inconclusive. Case presentation A 58-year-old woman presented several years after undergoing Scopinaro biliopancreatic diversion with recurrent abdominal pain and vomiting. Repeated imaging showed no obstruction. Upper gastrointestinal endoscopy revealed intussusception of an elongated blind ileal stump prolapsing into the efferent limb. Surgical exploration confirmed a 12-cm elongated stump acting as the lead point. Resection and anastomotic revision were successfully performed, with complete symptom resolution at 12 months.
Verbo, A., first dynamic endoscopic diagnosis of blind ileal stump intussusception after scopinaro biliopanreatic diversion, <<BMC SURGERY>>, 2026; (1): 1-5 [https://hdl.handle.net/10807/336316]
first dynamic endoscopic diagnosis of blind ileal stump intussusception after scopinaro biliopanreatic diversion
Verbo, Alessandro
Primo
Membro del Collaboration Group
2026
Abstract
Background Intussusception of the blind ileal stump is an extremely rare late complication of Scopinaro biliopancreatic diversion. Diagnosis is challenging because symptoms may be intermittent and radiological imaging frequently inconclusive. Case presentation A 58-year-old woman presented several years after undergoing Scopinaro biliopancreatic diversion with recurrent abdominal pain and vomiting. Repeated imaging showed no obstruction. Upper gastrointestinal endoscopy revealed intussusception of an elongated blind ileal stump prolapsing into the efferent limb. Surgical exploration confirmed a 12-cm elongated stump acting as the lead point. Resection and anastomotic revision were successfully performed, with complete symptom resolution at 12 months.
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