Treatment of postoperative jejunal intussusception in adult with oral gastrografin after laparoscopic low rectal resection. A case report.
Contrast material
Gastrografin
Intestinal obstruction
Intussusception
Postoperative bowel intussusception
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
15
06
2020
revised:
25
07
2020
accepted:
01
08
2020
pubmed:
25
8
2020
medline:
25
8
2020
entrez:
25
8
2020
Statut:
ppublish
Résumé
Postoperative intussusception is a rare cause of intestinal obstruction in adults. Intussusception refers to a condition in which a segment of the intestine invaginates into the lumen of an adjacent segment of the intestine. We report a case of postoperative jejunojejunal intussusception in a 42-year-old male following a laparoscopic low anterior resection for rectal cancer. In post-operative day (POD) 2 the patient showed intermittent bowel obstruction and fever. Diagnosis was established with abdominal computed tomography (CT) and enteroclysis, which led to a spontaneous reduction of the invagination. The incidence of intussusception in adults is rare condition. It represents less than 5% of all cases. In adults, transient asymptomatic enteric intussusception often resolves spontaneously without any treatment. When bowel obstruction is complete and persistent, surgery is need. Intussusception as cause of intestinal obstruction should be kept in mind in a post operative patient who develops obstructive symptoms. Early diagnosis makes the difference between surgical and others treatment. The pathogenesis and diagnosis of postoperative intussusception in the adult is discussed in the case report. The authors presented a rare cause of postoperative small bowel obstruction treated without surgery. The peculiarity of this case report is that the authors have successfully used, in an adult, conservative treatment with gastrografin, which is the treatment of choice used in children. The use of gastrografin was decisive and there were no recurrences in the follow up.
Identifiants
pubmed: 32836205
pii: S2210-2612(20)30601-5
doi: 10.1016/j.ijscr.2020.08.005
pmc: PMC7452584
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
120-123Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
Références
Ulus Travma Acil Cerrahi Derg. 2016 Mar;22(2):139-44
pubmed: 27193980
World J Gastroenterol. 2009 Jan 28;15(4):407-11
pubmed: 19152443
Proc (Bayl Univ Med Cent). 2014 Apr;27(2):128-30
pubmed: 24688199
Arch Dis Child. 1982 Oct;57(10):788-90
pubmed: 7138069
Int J Surg. 2018 Dec;60:132-136
pubmed: 30342279
South Med J. 1991 Nov;84(11):1334-9
pubmed: 1948218
Recenti Prog Med. 2012 Nov;103(11):483-8
pubmed: 23096736
AJR Am J Roentgenol. 1986 Mar;146(3):527-31
pubmed: 3484870
Br J Radiol. 1972 Jan;45(529):1-7
pubmed: 5008327
World J Gastroenterol. 2010 Jul 21;16(27):3472-4
pubmed: 20632454
Perm J. 2015 Winter;19(1):79-81
pubmed: 25663210
Pediatr Surg Int. 1998 Dec;14(3):175-7
pubmed: 9880741
Int J Colorectal Dis. 2006 Dec;21(8):834-9
pubmed: 15951987
Pac Health Dialog. 2010 Sep;16(2):82-4
pubmed: 21714342
Gastrointest Radiol. 1991 Summer;16(3):264-6
pubmed: 1879648
Am J Surg. 1997 Feb;173(2):88-94
pubmed: 9074370
J Clin Gastroenterol. 2003 Jan;36(1):18-21
pubmed: 12488701
South Med J. 2007 Oct;100(10):1042-4
pubmed: 17943053
Mil Med Res. 2016 Jun 18;3:19
pubmed: 27330824
Radiol Clin North Am. 2003 Nov;41(6):1137-51
pubmed: 14661662