Periodical
Postoperative intussusception: a diagnostic dilemma
| العنوان: | Postoperative intussusception: a diagnostic dilemma |
|---|---|
| المؤلفون: | Espineda, Beda R., Tsugawa, Chikara, Muraji, Toshihiro, Tanaka, Elio, Nishijima, Eiji, Matsumoto, Yoichi |
| المصدر: | Pediatric Surgery International; May 1990, Vol. 5 Issue: 3 p179-181, 3p |
| مستخلص: | Intussusception as a cause of intestinal obstruction in the postoperative period is still a perplexing problem to most surgeons. From 1980 to 1988, four cases of postoperative intussusception (POI) were seen at the Kobe Children's Hospital, representing 5.4% of all intussusceptions managed during this period. There were two females and two males, ages ranging from 1 to 18 months. In two, the initial operation was nephrectomy; one had operative reduction of an ileocolic intussusception (postoperative intussusception was ileo-ileal); and the fourth had a laparotomy performed for suspected pyloric stenosis. All four presented with bilious vomiting, abdominal distension, and increasing bile-stained aspirate via a nasogastric tube during the 1st week following surgery. Radiological and laboratory parameters were not helpful in arriving at a correct diagnosis. Ileo-ileal intussusception was found at operation in all four, with no evidence of a pathological lead point. In all cases manual reduction was carried out successfully and the convalescence was unevenful. In view of the difficulty in establishing the diagnosis of POI, a literature review has been made that enables a common pattern of symptomatology to be identified. It is hoped that this will serve as a guide permitting earlier recognition of this postoperative complication. |
| قاعدة البيانات: | Supplemental Index |
| تدمد: | 01790358 14379813 |
|---|---|
| DOI: | 10.1007/BF00179657 |