Postoperative ileo‐ileal intussusception following surgical resection of patent omphalomesenteric duct

A female neonate with patent omphalomesenteric duct was treated by ductal excision. Six days following surgery, she developed vomiting and abdominal distension. On plain radiographs, distended bowel loops with multiple, air‐fluid levels consistent with an intestinal obstruction were evident. Sonogra...

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Bibliographic Details
Published in:Journal of clinical ultrasound 2011-09, Vol.39 (7), p.422-424
Main Authors: Yeo, Dong‐Myung, Lim, Gye‐Yeon
Format: Article
Language:English
Subjects:
Digestive System Abnormalities - diagnosis
Digestive System Abnormalities - surgery
Distension
Female
Follow-Up Studies
Humans
Ileal Diseases - diagnosis
Ileal Diseases - etiology
Ileal Diseases - surgery
infant
Infant, Newborn
Infants
Intestine
intussusception
Intussusception - diagnosis
Intussusception - etiology
Intussusception - surgery
Neonates
patent omphalomesenteric duct
postoperative
Postoperative Complications - diagnosis
Postoperative Complications - surgery
Radiography
Reoperation - methods
Risk Assessment
Severity of Illness Index
Surgery
Sutures
Tomography, X-Ray Computed - methods
Treatment Outcome
Ultrasonography, Doppler - methods
Ultrasound
Vitelline Duct - diagnostic imaging
Vitelline Duct - surgery
Vomiting
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Description
Summary:A female neonate with patent omphalomesenteric duct was treated by ductal excision. Six days following surgery, she developed vomiting and abdominal distension. On plain radiographs, distended bowel loops with multiple, air‐fluid levels consistent with an intestinal obstruction were evident. Sonography demonstrated an ileo‐ileal intussusception. At surgery, a 3‐cm, ileo‐ileal intussusception was noted proximal to the previous Lembert suture site and was manually reduced. Awareness of the possibility of small‐bowel intussusception following surgery was critical to ensuring prompt and successful treatment of this infant. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011
ISSN:0091-2751
1097-0096
1097-0096
DOI:10.1002/jcu.20813