title: Idiopathic ileoileal invagination two days after cesarean section.
abstract: Postoperative enteroenteric invagination is rare. The only previously reported case post-cesarean was secondary to colonic adenocarcinoma. A 27-year-old woman with preeclampsia delivered a baby by cesarean section. On the second postoperative day, she had abdominal pain, nausea, vomiting, constipation, and distention. An abdominal x-ray showed air-fluid levels, while free fluid (ascites) was detected by ultrasonography. A computed tomography scan did not show the typical invagination picture. Her condition did not improve after 72 h of conservative treatment, and diagnostic laparotomy was performed. A 10 × 3-cm ileoileal invagination 80 cm proximal to the ileocecal valve was found and manually reduced. The patient was discharged on the fifth postoperative day, and her six-month follow-up was normal.
authors.affiliation: Department of Gynecology and Obstetrics, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey. mugeharma@superonline.com
authors.forename: Muge
authors.initials: M
authors.lastname: Harma
authors.forename: Mehmet I
authors.initials: MI
authors.lastname: Harma
authors.forename: Guldeniz
authors.initials: G
authors.lastname: Karadeniz
authors.forename: Ilker
authors.initials: I
authors.lastname: Arikan
authors.forename: Aykut
authors.initials: A
authors.lastname: Barut
authors.forename: Ulku
authors.initials: U
authors.lastname: Bayar
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007082:Ileum / Q000473:pathology; D045823:Ileus / Q000175:diagnosis; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome