Postoperative intussusception is a rare complication with a reported rate of 0.01-0.25% in children following laparotomy, accounting for 5-10% of postoperative bowel obstruction. We present a case of a 6-month-old infant with increasing abdominal fullness over several weeks who was found to have a large left renal mass. Following surgical resection of an atypical cellular form of Congenital Mesoblastic Nephroma, the patient developed abdominal distension and was presumed to have a postoperative ileus. Due to unexplained persistent hypertension following surgery, MR Angiogram of the Abdomen was performed to evaluate the renal arteries. On this MR exam, a right lower quadrant ileocolic intussusception was identified. Air enema intussusception reduction attempt was unsuccessful, and laparotomy was performed with successful reduction. We review the literature on pediatric postoperative intussusception including the variety of initial surgical operations, clinical symptoms, intussusception type, treatment, and patient outcomes. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Kim Jane, Chun Jeannie, Kim Wendy, Morin Cara, Shet Narendra

Keywords: Intussusception, Postoperative, MRI