Idiopathic ileoileal invagination two days after cesarean section

• Published in: The journal of obstetrics and gynaecology research Vol. 37; no. 2; pp. 160 - 162
• Main Authors: Harma, Muge, Harma, Mehmet I., Karadeniz, Guldeniz, Arikan, Ilker, Barut, Aykut, Bayar, Ulku
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Publishing Asia 01-02-2011
• Subjects: Adult; cesarean; Cesarean Section - adverse effects; diagnosis; Diagnosis, Differential; Female; Humans; Ileal Diseases - diagnosis; Ileal Diseases - etiology; Ileal Diseases - surgery; ileoileal invagination; Ileum - pathology; Ileus - diagnosis; intussusception; Intussusception - diagnosis; Intussusception - etiology; Intussusception - surgery; invagination; Pregnancy; Pregnancy Complications - diagnosis; Pregnancy Complications - etiology; Pregnancy Complications - surgery; Treatment Outcome
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/j.1447-0756.2010.01331.x

Postoperative enteroenteric invagination is rare. The only previously reported case post‐cesarean was secondary to colonic adenocarcinoma. A 27‐year‐old woman with preeclampsia delivered a baby by cesarean section. On the second postoperative day, she had abdominal pain, nausea, vomiting, constipation, and distention. An abdominal x‐ray showed air‐fluid levels, while free fluid (ascites) was detected by ultrasonography. A computed tomography scan did not show the typical invagination picture. Her condition did not improve after 72 h of conservative treatment, and diagnostic laparotomy was performed. A 10 × 3‐cm ileoileal invagination 80 cm proximal to the ileocecal valve was found and manually reduced. The patient was discharged on the fifth postoperative day, and her six‐month follow‐up was normal.