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Postoperative intussusception in children: a review of 14 cases

Zhi-bin Niu1, Ying Hou, Chang-lin Wang

  • 1Department of Pediatric Surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110004. niuzb@163.com

Chinese Medical Sciences Journal = Chung-Kuo I Hsueh K'O Hsueh Tsa Chih
|January 21, 2006
PubMed

Insights

Postoperative intussusception (PI) in children typically occurs within 10 days of surgery, presenting with ileus symptoms. Early diagnosis via sonography and surgical intervention are crucial for effective treatment.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Abdominal Imaging

Background:

  • Postoperative intussusception (PI) is a rare but serious complication following abdominal surgery in children.
  • Early recognition and management are critical to prevent complications such as bowel necrosis.

Purpose of the Study:

  • To investigate the causes, clinical presentation, and treatment outcomes of pediatric postoperative intussusception.
  • To identify key diagnostic features and optimal management strategies for PI.

Main Methods:

  • Retrospective review of clinical data from 14 pediatric patients diagnosed with PI.
  • Analysis of etiologic factors, diagnostic methods (including sonography), and surgical treatments.

Main Results:

  • PI occurred within 10 days (average 4 days) post-primary operation, with small intestine as the most common site.
  • Abdominal sonography aided diagnosis in one case, which was successfully treated with hydrostatic enema reduction.
  • Thirteen patients required secondary surgery, with manual reduction in 12 cases and bowel resection/anastomosis in one case due to necrosis.

Conclusions:

  • Postoperative intussusception should be suspected in children presenting with ileus in the early postoperative period.
  • Abdominal sonography can be a valuable diagnostic tool for PI.
  • Surgical intervention remains the primary treatment modality for postoperative intussusception.
Abstract

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