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Postoperative Ileus Murine Model
Published on: July 12, 2024
Idiopathic ileoileal invagination two days after cesarean section
Muge Harma1, Mehmet I Harma, Guldeniz Karadeniz
1Department of Gynecology and Obstetrics, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey. mugeharma@superonline.com
The Journal of Obstetrics and Gynaecology Research
|January 7, 2011
Summary
A rare case of postoperative enteroenteric invagination occurred in a patient following a cesarean section. The condition was successfully treated with manual reduction during laparotomy.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Postoperative enteroenteric invagination is an uncommon complication.
- Previous reports of post-cesarean invagination are exceedingly rare, with one linked to colonic adenocarcinoma.
Observation:
- A 27-year-old woman presented with abdominal pain, nausea, vomiting, constipation, and distention on postoperative day two after a cesarean delivery for preeclampsia.
- Initial imaging revealed air-fluid levels on abdominal X-ray and ascites on ultrasonography.
- Computed tomography (CT) scan did not present a classic picture of intussusception.
Findings:
- Conservative management for 72 hours failed to resolve the patient's symptoms.
- Diagnostic laparotomy identified a 10 x 3 cm ileoileal intussusception 80 cm proximal to the ileocecal valve.
- Manual reduction of the intussusception was performed successfully.
Implications:
- This case highlights that enteroenteric invagination can occur post-cesarean section without an apparent underlying malignancy.
- Prompt surgical intervention may be necessary when conservative measures fail.
- Successful manual reduction offers a viable treatment option for this rare postoperative complication.
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