A Case of Adult Intestinal Intussusception after Transperitoneal Nephrectomy

Norimasa Koide, Yuji Nimura, Junichi Kamiya, Satoshi Kondo, Masato Nagino, Masahiko Miyachi, Hiroto Akiyama

The First Department of Surgery, Nagoya University School of Medicine

A case of early postoperative intestinal intussusception in an adult patient is reported. The patient, a 59-year-old woman experienced abdominal pain and vomiting on 5th day after transperitoneal left nephrectomy for renal cell carcinoma. Her symptoms resolved after continuous gastrointestinal suction with a long tube. An intestinal barium study on the 18th postoperative day showed a long narrow jejunum with a giant filling defect. Ultrasonography revealed an intestinal dilatation with a multiple concentric ring sign which led to a diagnosis of intestinal intussusception. She underwent reoperation on the 19th postoperative day. A jejuno-jejunal intussusception was found in the left upper abdomen. After reduction of the intussusception, it was suspected that strong adhesive band at the lead point caused kinking of the jejunum. Therefore the jejunum including the lead point was resected. The resected specimen revealed no tumor. This case is a very rare early postoperative intestinal intussusception due to intestinal adhesions. Intestinal barium study ultrasonography are useful for the preoperative diagnosis of this disease.

Key words
postoperative complication, intussusception, adult

Reprint requests
Norimasa Koide Department of Surgery, Kasugai City Hospital
6363 Kamihattacho, Kasugai City, 486 JAPAN

Accepted
February 14, 1996

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