Idiopathic ileoileal invagination two days after cesarean section
Muge Harma, Mehmet Ibrahim Harma, Ilker Arikan, A Barut, U Bayar, Guldeniz Karadeniz
article (Uluslararası, Hakemli) | Yazar(lar): Muge Harma, Mehmet Ibrahim Harma, Ilker Arikan, A Barut, U Bayar, Guldeniz Karadeniz | Yıl: 2011 | Dergi/Kurum: JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH | İndeks: WOS.SCI | DOI: 10.1111/j.1447-0756.2010.01331.x | Anahtar Kelimeler: cesarean, diagnosis, ileoileal invag
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 x 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.