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Idiopathic ileoileal invagination two days after cesarean section
Author(s) -
Harma Muge,
Harma Mehmet I.,
Karadeniz Guldeniz,
Arikan Ilker,
Barut Aykut,
Bayar Ulku
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2010.01331.x
Subject(s) - medicine , invagination , vomiting , laparotomy , constipation , intussusception (medical disorder) , nausea , surgery , ascites , abdominal pain , computed tomography
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.