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Postoperative intussusception in infants and children: a report of seven cases

Weiwei Jiang1, Weibing Tang, Qiming Geng

  • 1Department of Neonatal Surgery, Nanjing Children's Hospital Affiliated with Nanjing Medical University, Nanjing, Jiangsu 210029, China.

Journal of Biomedical Research
|April 5, 2013
PubMed

Insights

Postoperative intussusception is a rare but severe complication in children after abdominal surgery. Early recognition of symptoms like vomiting and abdominal distension is crucial for prompt diagnosis and treatment.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Postoperative intussusception is an infrequent yet significant complication in pediatric surgical patients.
  • It presents a diagnostic challenge due to its nonspecific symptoms in the early postoperative period.

Purpose of the Study:

  • To report on seven cases of postoperative intussusception in infants and children.
  • To highlight the clinical presentation, management, and outcomes of this condition.

Main Methods:

  • Retrospective review of seven pediatric patients diagnosed with postoperative intussusception over 13 years.
  • Analysis of clinical presentation, diagnostic methods, surgical interventions, and follow-up data.

Main Results:

  • Patients presented with increased nasogastric drainage, vomiting, lack of stool, or abdominal distension 2-9 days post-surgery.
  • Manual reduction was successful in five cases; two required intestinal resection and anastomosis due to necrosis.
  • No recurrence was noted at six months follow-up.

Conclusions:

  • Postoperative intussusception requires a high index of suspicion in pediatric patients exhibiting signs of intestinal obstruction post-abdominal surgery.
  • Timely diagnosis and intervention, including manual reduction or surgical resection, are vital for favorable outcomes.

Keywords:
childreninfantsintestinal obstructionpostoperative intussusception

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