caa a22 4500 465772064 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19900501xx s 000 0 eng 10.1007/BF00179657 doi (NATIONALLICENCE)springer-10.1007/BF00179657 Postoperative intussusception: a diagnostic dilemma [Elektronische Daten] [Beda Espineda, Chikara Tsugawa, Toshihiro Muraji, Elio Tanaka, Eiji Nishijima, Yoichi Matsumoto] Intussusception as a cause of intestinal obstruction in the postoperative period is still a perplexing problem to most surgeons. From 1980 to 1988, four cases of postoperative intussusception (POI) were seen at the Kobe Children's Hospital, representing 5.4% of all intussusceptions managed during this period. There were two females and two males, ages ranging from 1 to 18 months. In two, the initial operation was nephrectomy; one had operative reduction of an ileocolic intussusception (postoperative intussusception was ileo-ileal); and the fourth had a laparotomy performed for suspected pyloric stenosis. All four presented with bilious vomiting, abdominal distension, and increasing bile-stained aspirate via a nasogastric tube during the 1st week following surgery. Radiological and laboratory parameters were not helpful in arriving at a correct diagnosis. Ileo-ileal intussusception was found at operation in all four, with no evidence of a pathological lead point. In all cases manual reduction was carried out successfully and the convalescence was unevenful. In view of the difficulty in establishing the diagnosis of POI, a literature review has been made that enables a common pattern of symptomatology to be identified. It is hoped that this will serve as a guide permitting earlier recognition of this postoperative complication. Springer-Verlag, 1990 Postoperative intussusception nationallicence Postoperative intestinal obstruction nationallicence Espineda Beda Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Tsugawa Chikara Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Muraji Toshihiro Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Tanaka Elio Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Nishijima Eiji Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Matsumoto Yoichi Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 179-181 0179-0358 5:3<179 1990 5 383 https://doi.org/10.1007/BF00179657 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179657 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Espineda Beda Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 700 1- Tsugawa Chikara Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 700 1- Muraji Toshihiro Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 700 1- Tanaka Elio Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 700 1- Nishijima Eiji Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 700 1- Matsumoto Yoichi Department of Surgery, Kobe Children's Hospital, I-I-I, Takakuradai, Sumaku, Kobe, Japan aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/3(1990-05-01), 179-181 0179-0358 5:3<179 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer