Postoperative intussusception in children operated for primary intussusception - A very rare entity

  • Muhammad Amjad Chaudhary
  • Chandni Pediatric Surgery
  • Aisha Jamil
  • Sadia Asmat Burki
Keywords: Postoperative intussusception, Small bowel intussusception, Ileocolic, Ileoileal, Abdominal ultrasound

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.

doi: https://doi.org/10.12669/pjms.40.5.8276

How to cite this: Chaudhary MA, Chandni, Jamil A, Burki SA. Postoperative intussusception in children operated for primary intussusception - A very rare entity. Pak J Med Sci. 2024;40(5):1035-1038. doi: https://doi.org/10.12669/pjms.40.5.8276

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2024-03-25
How to Cite
Chaudhary, M. A., Chandni, Jamil, A., & Sadia Asmat Burki. (2024). Postoperative intussusception in children operated for primary intussusception - A very rare entity. Pakistan Journal of Medical Sciences, 40(5). https://doi.org/10.12669/pjms.40.5.8276
Section
Clinical Case Series