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Published on: March 5, 2018
[Postoperative intussusception in children]
A A Gumerov1, A E Neudachin2, R A Nafikova2
1Bashkir State Medical University, Ufa, Russia.
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.
Abstract:
The authors present diagnosis and treatment of two children with postoperative intussusception. A 6-month baby with retroperitoneal teratoma developed clinical signs of intestinal obstruction in 2 days after surgery. The child underwent redo laparotomy, and ileocecal intussusception was found. In the second case, a 6-month baby with choledochal cyst underwent laparotomy, cyst excision and Roux-en-Y-hepaticojejunostomy. Six days later, clinical deterioration with signs of bowel obstruction appeared. Redo laparotomy was performed for early adhesive ileus, and ileoileal intussusception was observed. In both cases, postoperative intussusception was diagnosed during relaparatomy that confirms the complexity of diagnosis.
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