Postoperative intussusception after surgery for malrotation and appendicectomy in a newborn.
Postoperative intussusception in the newborn is an infrequent condition. A 17-day-old female with duodenal stenosis and malrotation underwent excision of the membrane in the duodenum and incidental appendicectomy. Postoperatively, a ceco-colic type of intussusception occurred, necessitating a right hemicolectomy. We speculate that the causative factors are twofolds: the embedded appendiceal stump, a polyp-like protrusion that became a lead point, and the non-fixation of the ileocecal mesentery, which facilitated a ceco-colic type of invagination.
Tatekawa
Y
Y
Department of Surgery, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma-ku, kobe, Japan 654.
Muraji
T
T
Nishijima
E
E
Tsugawa
C
C
Matamoros
M A
MA
Mouri
N
N
Sato
S
S
Moriuchi
T
T
D001062:Appendectomy / Q000009:adverse effects*; D004380:Duodenal Obstruction / Q000151:congenital* / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis