Idiopathic Post-gastropexy Ileo-Ileal Intussusception: A Case Report and Review of Literature
Published: 2022-12-20
Page: 444-450
Issue: 2022 - Volume 5 [Issue 2]
Ahmed Nosseir
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
Mohammad Daboos *
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
Samir Gouda
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
Refaat Ibrahim
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
Ahmed Salama
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
Islam Makhlouf
Pediatric Surgery Department, Faculty of Medicine, Al-Azhar University Hospitals, Cairo, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Postoperative intestinal intussusception (POI) is a rare cause of intestinal obstruction. It is reported to be occurred after many abdominal and non-abdominal operations. However, delayed diagnosis leads to ischemia and intestinal necrosis. Also increases post-operative morbidity and mortality, so it is needed an early diagnosis and timely intervention.
Methods: We have reported our experience with one of rare condition that post-operative intussusception seldom to be discovered after gastropexy, in addition to the previous experience of similar condition have also reported through collection of online databases of google scholars, included the children and infants with POI since 2017 in English-language using the key word ‘‘postoperative intussusception in children’’.
Results: We presented one case of ileoileal POI. Detected in the 7th post-operative day. Managed successfully with operative manual reduction with no postoperative complications in comparable with others in one diagram, as 18 cases with post-operative intussusception have been reported.
Conclusion: Frequently, post-operative intussusception is misdiagnosed as postoperative adhesive obstruction or adynamic ileus. Due to its rarity and unusual presentation, diagnosis is difficult and requires a very high index of suspicion.
Keywords: Postoperative intussusception, intestinal obstruction, gastropexy, adynamic ileus