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Updated: Jan 20, 2026

Vessel-Sparing Microsurgical Longitudinal Intussusception Vasoepididymostomy to Treat Epididymal Obstructive Azoospermia

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Published on: May 27, 2022

Paediatric Postoperative Intussusception.

Sundar Shrestha¹, Bal Mukunda Basnet², Anupama Thapa²

¹Department of General Surgery, NAMS, Bir Hospital, Kathmandu, Nepal.

Journal of Nepal Health Research Council

|August 29, 2019

Summary

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.

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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.