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Idiopathic postoperative intussusception.

I Olcay1, U Zorludemir

  • 1Department of Paediatric Surgery, Cukurova University, Faculty of Medicine, Adana, Turkey.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|April 1, 1989
PubMed
Summary

Idiopathic postoperative intussusception occurred in 10 children over 11 years, representing 5.5% of all intussusceptions. Most cases involved small bowel obstruction and were resolved with manual reduction, with uneventful recoveries.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Intussusception is a common surgical emergency in children.
  • Postoperative intussusception is a rare but serious complication following abdominal surgery.

Purpose of the Study:

  • To determine the incidence and characteristics of idiopathic postoperative intussusception in children.
  • To review the clinical presentation, management, and outcomes of these cases.

Main Methods:

  • Retrospective review of pediatric surgical cases over an 11-year period.
  • Identification of patients diagnosed with idiopathic postoperative intussusception.
  • Analysis of patient demographics, surgical history, intussusception presentation, and treatment outcomes.

Main Results:

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  • Ten cases of idiopathic postoperative intussusception were identified over 11 years, accounting for 5.5% of all intussusceptions.
  • Patients ranged from 3 months to 10 years old, with a 3- to 8-day interval between surgeries.
  • Nine cases presented with small bowel obstruction, and nine required simple manual reduction; one patient had classical signs.

Conclusions:

  • Idiopathic postoperative intussusception is an uncommon complication but should be considered in children with abdominal symptoms after surgery.
  • Early diagnosis and manual reduction are often successful, leading to favorable postoperative recovery.