Related Experiment Video

Updated: Jun 2, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

[Intussusception after congenital diaphragmatic hernia repair]

A Mazzei1, E Baldassarre, A Centonze

  • 1Service de chirurgie pédiatrique, hôpital Pugliese-Ciaccio, Catanzaro, Italie.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 10, 2011
PubMed

Insights

Intussusception after congenital diaphragmatic hernia (CDH) repair is rare. This case report suggests postoperative bowel atony may cause intussusception by acting as a functional leading point.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Bowel intussusception is a known complication following abdominal surgery.
  • Literature specifically addressing intussusception after congenital diaphragmatic hernia (CDH) repair is limited.

Observation:

  • A 24-month-old female presented with symptoms of intestinal obstruction post-CDH repair.
  • Exploratory laparotomy revealed an ileoileal intussusception without an identifiable leading point.

Findings:

  • The intussusception occurred 15 cm from the ileocecal valve.
  • The patient experienced worsening symptoms on postoperative day 7.

Implications:

  • Postoperative bowel atony in the herniated segment may act as a functional leading point, triggering intussusception.
  • This highlights a potential, albeit uncommon, complication in pediatric CDH surgical management.
Abstract

More Related Videos

Technical Considerations and Approach to Redo Foregut Surgery04:14

Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...