Paediatric Postoperative Intussusception

Abstract

Intussusception is one of the common causes of acute abdomen in early childhood, particularly in children younger than two years of age. The majority of cases in children are idiopathic. Pathologic lead points can be identified in only 25 percent of cases. Here. we present a case of 15 months female child with Ileoileal postoperative intussusception with an anastomotic margin as a lead point, following resection anastomosis done for patent vitello intestinal duct. Role of high clinical suspicion, investigations and judgement are highlighted in managing the case.Keywords: Anastomosis; ileoileal; postoperative intussusception; patent vitello-intestinal duct.

Post-operative Intussusception, a rare case in pediatric, National Center for Paediatric Surgery, Gezira State, Sudan; 2021

“…This case was of 10 years old female, diagnosed as post-operative intussusception following emergency appendicectomy; this was consistent with many international findings [1-5, 10]. The type of intussusception in our case was ileocolic with no identifiable lead point, this is similar to many international studies [3,5]. Post-operative intussusception can lead to intestinal obstruction which is similar to our case [11][12][13][14].…”

“…It's a common cause of abdominal emergencies especially in children two years of age and younger. Its accounts for 1 in 2000 infants and children and results in intestinal obstruction [1][2][3][4][5][6][7][8]. Intussusception is a common pediatric emergency where in adult it's rare and account for less than 5% of all cases.…”

“…The underlying mechanism of intussusceptions is remaining unknown in 90% of cases but any lesion can serve as lead point in developing its process. In young children, it can result also from enteric infections, Meckel's diverticulum, small bowel lymphoma, Henoch-Schonlein purpura, cystic fibrosis, as well as post-operative and posttraumatic intussusceptions which are very rare conditions [1][2][3][4][5]10]. Ileocolic intussusception is the most common type in pediatrics.…”

“…Colocolic intussusception in the adults is usually result as complication of underlying colonic disease, usually carcinoma or polypoid tumor. Pediatric patients presenting with documented colocolic intussusception should suggest the possibility of a colonic polyp or other mass lesions [3,5,7]. Post-operative intussusception is one of the rare etiologies of intestinal obstruction account for 0.01 to 0.25% after laparotomies and 5 -10% of all early postoperative intestinal obstructions [11][12][13][14].…”