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Idiopathic postoperative intussusception
1Department of Paediatric Surgery, Cukurova University, Faculty of Medicine, Adana, Turkey.
Insights
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.
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:
- 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.
Abstract:
During the last 11 years idiopathic postoperative intussusception developed in ten children. The incidence was 5.5% of all the intussusceptions. The age ranged from three months to ten years and the interval between two surgical procedures differed from three to eight days. Only one of the patients presented the classical signs of intussusception. In nine of them, the obstructions were in the small bowel. Nine of the ten intussusceptions needed simple manual reduction. Postoperative recovery was uneventful.