title: Double small bowel intussusception complicating bilateral partial nephrectomies.
abstract: An 11.5-month-old male, diagnosed with bilateral Wilms tumor at 10 months of age, received 6 weeks of chemotherapy and subsequently underwent bilateral partial nephrectomies. On postoperative day 5, he had crampy abdominal pain and bilious vomiting. Abdominal ultrasound confirmed the presence of an intussusception in the right lower quadrant. Laparotomy demonstrated two separate areas of small intestinal intussusception located at jejuno-jejunal and ileo-ileal locations. The patient was successfully treated with manual reduction. A high index of suspicion is necessary to diagnose and treat patients with two different points of intussusception.
authors.affiliation: Department of Surgery, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
authors.forename: Fazal N
authors.initials: FN
authors.lastname: Wahid
authors.affiliation: Department of Surgery, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
authors.forename: Alpin D
authors.initials: AD
authors.lastname: Malkan
authors.affiliation: Department of Radiological Sciences, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
authors.forename: M Beth
authors.initials: MB
authors.lastname: McCarville
authors.affiliation: Department of Surgery, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Davidoff
keywords: bilateral partial nephrectomies; laparotomy; postoperative intussusception