Intussusception after congenital diaphragmatic hernia repair

Bowel intussusception is a common complication of abdominal surgery. However, the literature on intussusception after congenital diaphragmatic hernia (CDH) repair is scarce. A 24-month-old female was admitted with vomiting, crying and leukocytosis, with no objective abdominal signs. The chest x-ray...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2011-06, Vol.18 (6), p.646-648
Main Authors: Mazzei, A, Baldassarre, E, Centonze, A, Stranieri, G, Rubino, R, Cheney, Y, Barone, M, Becmeur, F
Format: Article
Language:fre
Subjects:
Child, Preschool
Female
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Ileal Diseases - diagnosis
Ileal Diseases - etiology
Intussusception - diagnosis
Intussusception - etiology
Postoperative Complications - diagnosis
Postoperative Complications - etiology
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Summary:Bowel intussusception is a common complication of abdominal surgery. However, the literature on intussusception after congenital diaphragmatic hernia (CDH) repair is scarce. A 24-month-old female was admitted with vomiting, crying and leukocytosis, with no objective abdominal signs. The chest x-ray showed the presence of bowel in the left hemithorax. Surgical exposure reduced a hernia across a Bochdalek defect, involving part of the left colon and the transverse colon. On the 7th postoperative day, the patient had symptoms of intestinal obstruction with worsening of her general condition. The explorative laparotomy evidenced an ileoileal intussusception, 15 cm from the ileocecal valve, in absence of a leading point. A postoperative intussusception in a similar case could be explained by atony of the herniated bowel, possibly a functional leading point in the postoperative phase, when the peristalsis is reactivated.
ISSN:1769-664X
DOI:10.1016/j.arcped.2011.03.013