[Postoperative intussusception in children]

A A Gumerov1, A E Neudachin2, R A Nafikova2

  • 1Bashkir State Medical University, Ufa, Russia.

Khirurgiia
|November 18, 2022
PubMed

Insights

Postoperative intussusception is a rare complication in children following abdominal surgery. Diagnosis and treatment are complex, often requiring prompt surgical reintervention for intestinal obstruction.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Context:

  • Intussusception is a common surgical emergency in infants and children.
  • Postoperative intussusception is an uncommon but serious complication.
  • This study examines two pediatric cases of intussusception occurring after abdominal surgery.

Purpose:

  • To present the diagnosis and treatment of two children with postoperative intussusception.
  • To highlight the diagnostic challenges associated with this condition.
  • To discuss the surgical management strategies employed.

Summary:

  • A 6-month-old infant with a retroperitoneal teratoma developed ileocecal intussusception postoperatively, requiring redo laparotomy.
  • Another 6-month-old infant with a choledochal cyst developed ileoileal intussusception postoperatively, diagnosed during relaparotomy for adhesive ileus.
  • Both cases underscore the complexity of diagnosing intussusception in the postoperative setting.

Impact:

  • This case series contributes to understanding the presentation and management of postoperative intussusception in pediatric patients.
  • It emphasizes the importance of considering intussusception in the differential diagnosis of postoperative intestinal obstruction.
  • Early recognition and surgical intervention are crucial for favorable outcomes.

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