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Updated: Jun 24, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Postoperative intussusception in children operated for primary intussusception - A very rare entity
Muhammad Amjad Chaudhary1, Chandni2, Aisha Jamil3
1Muhammad Amjad Chaudhary, MS Pediatric Surgery, FRCS, FRCS, Department of Neonatal and Pediatric Surgery, The Children Hospital, Pakistan Institute of Medical Sciences, SZAB Medical University, Islamabad, Pakistan.
Insights
Postoperative intussusception (POI) can occur after surgery, even in children previously treated for intussusception. Early diagnosis and surgical intervention are crucial for favorable outcomes.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Complications
Background:
- Postoperative intussusception (POI) is a rare complication following abdominal and non-abdominal surgeries.
- Reports of POI in children previously operated on for intussusception are particularly scarce.
- This study highlights three such pediatric cases managed at a single institution.
Observation:
- Patients presented with atypical ileus symptoms 2-8 days post-primary surgery.
- Abdominal ultrasound confirmed intussusception in all three cases.
- All identified cases involved ileoileal intussusception.
Findings:
- Two patients successfully underwent manual reduction of the intussusception.
- One patient required intestinal resection and anastomosis due to necrosis.
- All patients recovered well without recurrence of intussusception.
Implications:
- Clinicians should maintain a high suspicion for POI in patients with early postoperative intestinal obstruction.
- Recurrence of intussusception, or a second intussusception, should be considered after initial surgical reduction.
- Prompt diagnosis via ultrasound and urgent surgical intervention are vital for managing POI.
Abstract:
Postoperative intussusception (POI) after abdominal and non-abdominal operations is a rare but recognized condition discussed several times in literature. There are scarce reports regarding POI in children operated primarily for intussusception. We discuss three such cases that were seen in our institution in the last two years. The patients showed symptoms of atypical ileus that failed to resolve two to eight days following primary surgery. Ultrasound reported intussusception and surgical intervention was sought. All patients had ileoileal intussusception. Manual reduction was successful in two cases. One had intestinal necrosis and underwent resection and anastomosis. Recovery was satisfactory without recurrence. POI should be suspected in patients who show signs of intestinal obstruction in early postoperative period. A second POI should be kept in mind after surgical reduction of the first intussusception. Ultrasound should be performed to aid diagnosis followed by urgent surgical intervention.
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