Two Cases of Postoperative Intussusception FoIIowing Removal of Long Intestinal Tube

Takahisa Kyogoku, Norihiko Yamada

Department of Surgery, Toyosato Hospital

Two cases of postoperative intussusception secondary to long intestinal tubes are reported. A 80-year-old male and a 46-year-old female were admitted to our hospital because of adhesive small-bowel obstruction. Long intestinal tubes were inserted, but copious drainage continued, and so laparotomy were performed. After lysis of adhesions, intestinal tubes were remained in the jejunum in both patients. After withdrawal of the tubes, the patients began vomiting, and ultrasonography and CT scan of the abdomen demonstrated intussuscepted bowel. At the second surgery, antegrade jejunojejunal intussusceptions were found and reduced in both patients. It is supposed that the small bowel was telescoped over a long intestinal tube, and pleats were formed, fixed by adhesions and may have acted as a lead point for intussusception. In using a long intestinal tube, the possibility of intussusception must be considered, even after tube withdrawal.

Key words
intussusception, ileus, long intestinal tube

Reprint requests
Takahisa Kyogoku Department of Surgery, Nishi-Kobe Medical Center
5-7-1 Kohjidai, Nishi-ku, Kobe, 651-22 JAPAN

Accepted
May 17, 1995

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