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Postoperative ileo-ileal intussusception following surgical resection of patent omphalomesenteric duct

Dong-Myung Yeo1, Gye-Yeon Lim

  • 1Department of Radiology, St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Journal of Clinical Ultrasound : JCU
|April 13, 2011
PubMed

Insights

A neonate developed intestinal obstruction after surgery for a patent omphalomesenteric duct. Prompt diagnosis via imaging revealed ileo-ileal intussusception, which was successfully treated.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Neonatal Care

Background:

  • Patent omphalomesenteric duct (POMD) is a congenital anomaly requiring surgical intervention.
  • Surgical excision of POMD is a standard treatment.
  • Postoperative complications can occur, necessitating vigilant monitoring.

Observation:

  • A neonate presented with vomiting and abdominal distension six days post-POMD excision.
  • Radiographs showed signs of intestinal obstruction, including distended bowel loops and air-fluid levels.
  • Ultrasound revealed ileo-ileal intussusception.

Findings:

  • A 3-cm ileo-ileal intussusception was identified during surgical exploration.
  • The intussusception was located proximal to the previous surgical suture site.
  • Manual reduction of the intussusception was successfully performed.

Implications:

  • Intussusception is a rare but critical complication following abdominal surgery in neonates.
  • Early recognition of intussusception is vital for timely and effective management.
  • This case highlights the importance of considering intussusception in neonates with postoperative abdominal symptoms.

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