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Published on: March 5, 2018
Postoperative intussusception in children
Z Türkyilmaz1, K Sönmez, B Demiroğullari
1Department of Paediatric Surgery, Medical Faculty of Gazi University, Turkey. zafertrk@yahoo.com
Insights
Postoperative intussusception is a rare cause of bowel obstruction in children. Early diagnosis and surgical reduction are key to successful treatment of this uncommon condition.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Postoperative intussusception (POI) is an infrequent complication following abdominal surgery in pediatric patients.
- It presents as a cause of mechanical bowel obstruction, often with subtle and difficult-to-diagnose symptoms.
Purpose of the Study:
- To analyze cases of postoperative intussusception in children.
- To highlight diagnostic challenges and successful treatment outcomes.
Main Methods:
- Retrospective analysis of four pediatric cases of postoperative intussusception.
- Review of clinical presentation, surgical procedures, and treatment outcomes over a 15-year period (1987-2001).
Main Results:
- Symptoms of POI appeared a median of 2.5 days post-operation.
- All four cases were successfully treated with operative manual reduction.
- POI can occur after diverse surgical procedures.
Conclusions:
- Postoperative intussusception requires a high index of suspicion for timely diagnosis.
- Prompt surgical intervention, including manual reduction, leads to successful outcomes in pediatric POI.
Abstract:
Postoperative intussusception (POI) is an uncommon cause of postoperative mechanical bowel obstruction in children. Four cases of POI during a period of 15 years (1987-2001) were analysed retrospectively. Symptoms developed after a median period of 2.5 days following the operation. All cases were succesfully treated with operative manual reduction. POI occurs after a wide variety of surgical procedures and is often difficult to diagnose because the symptoms are often obscure. As a conclusion, we state that reaching a diagnose requires a high index of suspicion.
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