Shrestha Sundar, Basnet Bal Mukunda, Thapa Anupama
Department of General Surgery, NAMS, Bir Hospital, Kathmandu, Nepal.
Department of Pediatric Surgery, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal.
J Nepal Health Res Counc. 2019 Aug 4;17(2):258-260. doi: 10.33314/jnhrc.v0i0.1793.
Intussusception is one of the common causes of acute abdomen in early childhood, particularly in children younger than two years of age. The majority of cases in children are idiopathic. Pathologic lead points can be identified in only 25 percent of cases. Here. we present a case of 15 months female child with Ileoileal postoperative intussusception with an anastomotic margin as a lead point, following resection anastomosis done for patent vitello intestinal duct. Role of high clinical suspicion, investigations and judgement are highlighted in managing the case. Keywords: Anastomosis; ileoileal; postoperative intussusception; patent vitello-intestinal duct.
肠套叠是幼儿急性腹痛的常见原因之一，尤其是两岁以下的儿童。儿童中的大多数病例为特发性。仅25%的病例可发现病理性引导点。在此，我们报告一例15个月大的女童，在因卵黄管未闭行切除吻合术后发生回肠-回肠型术后肠套叠，以吻合口边缘作为引导点。本文强调了高度临床怀疑、检查和判断在该病例处理中的作用。关键词：吻合术；回肠-回肠；术后肠套叠；卵黄管未闭
