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Postoperative intussusception following transverse colostomy: a case report with its pathogenesis
V C Shakya1, C S Agrawal, R Koirala
1Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal. vikalcsh@yahoo.com
Kathmandu University Medical Journal (KUMJ)
|May 27, 2010
Summary
Postoperative idiopathic intussusception is a rare complication following surgery. This case highlights ileoileal intussusception after colostomy, with a kinked bowel loop as the lead point.
Area of Science:
- Gastroenterology and Surgical Sciences
- Abdominal Surgery
- Clinical Case Reports
Background:
- Postoperative idiopathic intussusception is a recognized, albeit uncommon, complication after various surgical procedures.
- Understanding the specific mechanisms and clinical presentations is crucial for timely diagnosis and management.
Observation:
- A 45-year-old female patient developed ileoileal intussusception.
- The intussusception occurred subsequent to a transverse loop colostomy performed for sigmoid volvulus.
- A kinked loop of bowel was identified as the lead point responsible for the intussusception.
Findings:
- The case demonstrates a unique instance of postoperative intussusception following a colostomy procedure.
- The identification of a kinked bowel segment as the lead point provides insight into the specific pathogenesis.
- A comprehensive literature review on the disorder's pathogenesis is presented.
Implications:
- This case expands the understanding of potential complications following colostomy for sigmoid volvulus.
- Highlights the importance of considering intussusception in patients presenting with relevant postoperative symptoms.
- Contributes to the existing literature on the etiology and clinical spectrum of postoperative intussusception.
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