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Intussusception. A cause of postoperative intestinal obstruction in children

S J Crankson1, K A Al Mane

  • 1Department of Surgery (1446), King Fahad National Guard Hospital, PO Box 22490, Riyadh 11426, Kingdom of Saudi Arabia.

Saudi Medical Journal
|August 14, 2001
PubMed

Insights

Postoperative intussusception is a rare complication following abdominal surgery, often mistaken for ileus. Early recognition and manual reduction at laparotomy can lead to successful outcomes in children.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Intestinal obstruction is a frequent postoperative complication, typically caused by intra-abdominal adhesions.
  • Postoperative intussusception is an uncommon but serious cause of intestinal obstruction after abdominal surgery.

Observation:

  • This report details two pediatric cases of postoperative intussusception.
  • One case occurred after ruptured urinary bladder repair, the other after appendicectomy.

Findings:

  • Both children presented with symptoms that could be confused with postoperative ileus.
  • Successful manual reduction of the intussusception was achieved during laparotomy in both cases.

Implications:

  • Increased incidence of postoperative intussusception is anticipated with more pediatric abdominal surgeries.
  • Clinicians should maintain a high index of suspicion for intussusception in children with postoperative bowel obstruction.
  • Prompt diagnosis and surgical intervention are crucial for favorable outcomes.

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