P649 Uncommon complication after congenital diaphragmatic hernia repair in a newborn

IntroductionBowel intussusception is an extremely rare postoperative complication of congenital diaphragmatic hernia. Any delayed diagnosis can be life-threatening. Clinician has to evoke the diagnosis every time symptoms of bowel obstruction appear after surgical repair.MethodsWe report the case of...

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Bibliographic Details
Published in:Archives of disease in childhood 2019-06, Vol.104 (Suppl 3), p.A409
Main Authors: Charfi, Manel, Hamad, Amel Ben, Zitouni, Hayet, Regaieg, Chiraz, Bouraoui, Amira, Regaieg, Ridha, Hmida, Nedia, Mhiri, Riadh, Thabet, Afef Ben, Gargouri, Abdellatif
Format: Article
Language:English
Subjects:
Bile
Childrens health
Diagnosis
Hernia
Hernias
Intestine
Intussusception
Newborn babies
Pediatrics
Peristalsis
Prenatal development
Surgery
Ultrasound
Vomiting
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Summary:IntroductionBowel intussusception is an extremely rare postoperative complication of congenital diaphragmatic hernia. Any delayed diagnosis can be life-threatening. Clinician has to evoke the diagnosis every time symptoms of bowel obstruction appear after surgical repair.MethodsWe report the case of a newborn who presented an acute intussusception at the fourth post operative day of a congenital diaphragmatic hernia repair.ResultsA female full term newborn was operated for a congenital diaphragmatic hernia at her second day of life. Four days after surgery she started vomiting bile-stained fluid. Abdominal ultrasound showed an ileoileal intussusception with the classic target sign. Laparotomy evidenced a jejunojejunal intussusception associated to multiple intestinal adherences. The intussusception was manually reduced and the intestinal adhesions were released. The postoperative course was uneventful. She is now 2 years-old and she is healthy.ConclusionsIn our case, intestinal intussusception would be secondary to postoperative intestinal adhesions and peristalsis disorders during the phase of its reactivation in the first postoperative days.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2019-epa.980