Postsurgical intestinal occlusion ileum-ileum double intussusception in eleven-month girl.

BACKGROUND

Postoperative intussusception is an unusual complication in children; the incidence is 0.01-0.25%.

CLINICAL CASE: Female of 11 months who underwent colostomy, 48 h later presents abdominal pain, vomiting gastrobiliar and abdominal distension. A laparotomy was performed, finding a double ileo-ileal invagination 60 cm from the ileocecal valve.

DISCUSSION: The postoperative intestinal invaginations are extremely rare and most of them occur within the first 7 days. The etiology of postoperative intussusception is unknown.

CONCLUSIONS

Postoperative children with intestinal occlusion, intussusception should be suspected and an immediate laparotomy should be performed.