1. Intussusception--the forgotten postoperative obstruction
- Author
-
S H Ein and J M Ferguson
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Ileus ,medicine.medical_treatment ,Postoperative recovery ,Palpable abdominal mass ,Postoperative Complications ,Intussusception (medical disorder) ,Laparotomy ,Abdomen ,medicine ,Humans ,Barium enema ,Ileal Diseases ,business.industry ,General surgery ,Infant ,Jejunal Diseases ,medicine.disease ,digestive system diseases ,Surgery ,Bowel obstruction ,medicine.anatomical_structure ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,business ,Intussusception ,Research Article - Abstract
Ten children developed intussusception after laparotomy. The bowel obstruction caused by the intussusception was evident within 8 days of major laparotomy in 8 children and within 39 days in the other two. It developed after the usual postoperative laparotomy ileus, and did not respond to normal non-operative treatment not even to a barium enema. There was one palpable abdominal mass and no rectal bleeding. Only at surgery was the correct diagnosis made. Eight of 10 intussusceptions affected only the small-bowel; most of them were ileoileal, but 2 were ileocolic. Seven of the 10 intussusceptions needed only manual reduction. Postoperative recovery was uneventful.
- Published
- 1982
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