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An interesting and rare cause of post-operative intussusception: Roux limb intussusception
Cem Kaya1, Ramazan Karabulut1, Zafer Turkyilmaz1
1Department of Pediatric Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.
Insights
Postoperative intussusception is rare in children. This case highlights a unique instance of intussusception originating from the Roux limb following common bile duct cyst surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Intussusception is a common pediatric condition, typically idiopathic.
- Postoperative intussusception accounts for approximately 1% of cases.
- Surgical intervention for type 1 common bile duct cysts is a known procedure.
Observation:
- A 6-year-old male presented with postprandial abdominal pain two months after surgery for a type 1 common bile duct cyst.
- Initial examination and abdominal X-ray revealed no abnormalities.
- Ultrasonography and computed tomography confirmed intussusception.
Findings:
- The intussusception was identified originating from the Roux limb.
- This specific etiology of postoperative intussusception has not been previously reported.
Implications:
- This case expands the understanding of potential complications following common bile duct cyst surgery.
- Highlights the importance of advanced imaging in diagnosing subtle postoperative gastrointestinal issues.
- Suggests Roux limb intussusception as a rare but possible complication in pediatric surgery.
Abstract:
Intussusception is a common disease in children. Most intussusception is idiopathic and approximately 1% develops postoperatively. We present a case of a 6-year-old male patient who underwent surgery for a type 1 common bile duct cyst. In his post-operative 2nd month, the patient presented with a complaint of abdominal pain after eating, but his pain was not accompanied by nausea or vomiting. No pathological findings were evident in the examination or an abdominal X-ray of the patient. Intussusception was detected by ultrasonography and computed tomography. We wanted to introduce this interesting intussusception that originated from the Roux limb that was not seen before.
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