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Postsurgical intestinal occlusion ileum-ileum double intussusception in eleven-month girl

Alfonso Galván-Montaño1, Sonia Guzmán-Martínez1, Francisco Serrano-Andrade2

  • 1Servicio de Cirugía Pediátrica. Hospital General Dr. Manuel Gea González, Ciudad de México, México.

Cirugia Y Cirujanos
|January 23, 2020
PubMed

Insights

Postoperative intussusception is a rare complication in children following surgery. Early diagnosis and immediate laparotomy are crucial for managing this condition.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Postoperative intussusception is a rare complication in pediatric patients, with an incidence ranging from 0.01% to 0.25%.
  • The etiology of postoperative intussusception remains largely unknown.

Observation:

  • An 11-month-old female presented with abdominal pain, vomiting, and distension 48 hours after a colostomy.
  • Surgical exploration revealed a double ileo-ileal intussusception located 60 cm from the ileocecal valve.

Findings:

  • Postoperative intussusception is exceptionally rare, typically occurring within the first week after surgery.
  • The case highlights a double ileo-ileal intussusception as a potential cause of intestinal obstruction post-colostomy.

Implications:

  • In pediatric patients with postoperative intestinal obstruction, intussusception must be suspected.
  • Prompt surgical intervention, specifically laparotomy, is essential for favorable outcomes in suspected cases of postoperative intussusception.
Abstract

Keywords:
ChildrenIntestinal occlusionInvaginación posoperatoriaNiñosOclusión intestinalPostsurgical intussusception

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