Abstract

A five month old girl, with typical clinical, ultrasound and radiological signs of intussusception underwent surgery for ileocecocolic intussusception, with a long part of the colon involved. We performed manual reduction. The first two postoperative days passed normally, but over the next few days the content in the nasogastric tube increased. On the seventh postoperative day an abdominal x-ray showed signs of abdominal obstruction (Fig. 1), and a new abdominal ultrasound revealed the typical target appearance. The clinical manifestation was intestinal obstruction without an abdominal palpable mass or bloody stool. We performed laparotomy which revealed jejunojejunal intussusception (Fig. 2). Postoperative jejunojejunal intussusception after the surgical reduction of ileFig. 1 Abdominal x-ray.

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