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Paediatric Postoperative Intussusception
Sundar Shrestha1, Bal Mukunda Basnet2, Anupama Thapa2
1Department of General Surgery, NAMS, Bir Hospital, Kathmandu, Nepal.
Insights
Postoperative intussusception can occur in children, sometimes caused by surgical sites. This case highlights how a patent vitello intestinal duct repair led to ileoileal intussusception with an anastomotic margin as the lead point.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Intussusception is a frequent cause of acute abdomen in young children.
- Most pediatric intussusception cases are idiopathic, with identifiable lead points in only 25%.
Observation:
- A 15-month-old female presented with ileoileal intussusception postoperatively.
- The lead point was identified as an anastomotic margin from a previous resection and anastomosis for a patent vitello intestinal duct.
Findings:
- This case demonstrates postoperative intussusception where the surgical anastomosis served as the lead point.
- Successful management relied on high clinical suspicion and appropriate investigations.
Implications:
- Highlights the importance of considering anastomotic sites as potential lead points in postoperative intussusception.
- Emphasizes the role of clinical judgment in diagnosing and managing this rare complication.
Abstract:
Intussusception is one of the common causes of acute abdomen in early childhood, particularly in children younger than two years of age. The majority of cases in children are idiopathic. Pathologic lead points can be identified in only 25 percent of cases. Here. we present a case of 15 months female child with Ileoileal postoperative intussusception with an anastomotic margin as a lead point, following resection anastomosis done for patent vitello intestinal duct. Role of high clinical suspicion, investigations and judgement are highlighted in managing the case. Keywords: Anastomosis; ileoileal; postoperative intussusception; patent vitello-intestinal duct.
