Abstract
A case of postoperative intussusception in an 11-month-old girl is reported. She underwent posterior gastropexy for sliding hiatal hernia, but because of a passage disturbance of the pylorus, pyloroplasty was done on the 12th postoperative day. Nasogastric output increased on the 4th day after pyloroplasty. Abdominal plain X-P showed dilatation of the intestinal loops. Because of her stable hemodynamic condition, nonoperative management was continued. When her condition changed to the toxic state 4 weeks later, emergent laparotomy was performed and ileo-ileal intussusception was reduced manually. Subsequent convalescence was uneventful. Postoperative intussusception should be suspected in any infant with early evidence of intestinal obstruction, and prompt laparotomy should be undertaken.
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