Although intussusception is always seen in children, its occurrence in adults is an exceptional situation. Postoperative intussusception is uncommon and few cases have been reported in the literature. We present the case of a 51-year-old woman with jejunal postoperative intussusception. She underwent gastrojejunal anastomosis for pyloric stenosis two weeks earlier. The symptomatology was a bowel obstruction, which was initially thought to be an early postoperative adhesions. The lack of improvement despite medical treatment led to a surgical exploration that helped to the right diagnosis. Intussusception has been related to jejunal adhesions. Manual reduction was made with removal of adhesions. Postoperative period was uneventful. Adult intussusception is uncommon, often caused by tumors. Early surgical revision is the rule to avoid nutritional impact of a chronic postoperative subocclusion.
Adult giant hydronephrosis is a rare clinical entity. His clinical diagnosis is not obvious. We report a case of a 42-year-old man, who was admitted for a large intra-abdominal mass, painless, evolving for about 8 months. The clinical examination showed a very distended abdomen. The abdominal CT confirms the diagnosis of left giant hydronephrosis on ureteral lithiasis. Surgical treatment consisted of an emergency percutaneous nephrostomy followed by a secondary left nephrectomy. The evolution was favourable and the aftermath were simple.
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