Postoperative ileo‐ileal intussusception following surgical resection of patent omphalomesenteric duct

Abstract

A female neonate with patent omphalomesenteric duct was treated by ductal excision. Six days following surgery, she developed vomiting and abdominal distension. On plain radiographs, distended bowel loops with multiple, air-fluid levels consistent with an intestinal obstruction were evident. Sonography demonstrated an ileo-ileal intussusception. At surgery, a 3-cm, ileo-ileal intussusception was noted proximal to the previous Lembert suture site and was manually reduced. Awareness of the possibility of small-bowel intussusception following surgery was critical to ensuring prompt and successful treatment of this infant.

Persistent omphalomesenteric duct in an infant with trisomy 21

“…Typically, in the majority of reported POMD cases, it presents similarly to our case, with faecal umbilical discharge 5–22. However, in more extreme cases, it has presented as an intestinal prolapse through the umbilical cord, and more subtly as a hernia in a single case 23–34.…”

Persistent Vitellointestinal Duct Beyond Neonatal Period: A Unique Presentation of Transumbilical Prolapse of Latent Vitellointestinal Duct With Prolapsed Orthograde Ileal Intussusception

“…It can also present with prograde (proximal limb), retrograde (distal limb), or orthograde (both limbs) intussusception in patients if the VID is short and wide. 3 However, delayed infantile presentation of latent VID with spontaneous orthograde intussusception through a transumbilical prolapsed PVID, as present in our patient, is unique.…”

Postoperative Ileocolic Intussusception in a Neonate with Anorectal Malformation

“…[1] Rarer still are postoperative intussusceptions in the same age group. [2][3][4] We report a case of postoperative intussusception in a neonate with anorectal malformation.…”

“…It has been reported after operations for duodenal stenosis, malrotation of gut, cutis laxa and hiatal hernia, ARM, eventration of diaphragm, patent vitellointestinal duct etc. [2][3][4] In our case it developed after anoplasty for ARM. Diagnosis of the post-operative intussusception at any age is very difficult in general and very challenging in the neonatal period.…”

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Conflict of Interest: None Source of Support: NilThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

DEAR SIRNeonatal intussusception is relatively rare entity with an incidence of 0.3% of all intussusception.[1] Rarer still are postoperative intussusceptions in the same age group. [2][3][4] We report a case of postoperative intussusception in a neonate with anorectal malformation.A 7-days-old male neonate with anorectal malformation (ARM) presented with abdominal distension and bleeding per rectum. He had an operation for ARM (Anoplasty) a day after birth and the patient had history of passing stool normally for two days.

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