Infant Intussusception after Abdominal Surgery in 2 Cases Report and Literature Review
Abstract: Purpose: To explore the clinical characteristics postoperative intussusception of small infant, re-duce the incidence, and improve the early diagnostic rate. Method: 2 cases of postoperative intus-susception of infants were fulfilled the inclusion criteria. Result: 1 case, a 3 month infant with ter-minal ileum colostomy for intestinal perforation occurred intussusception 8 days after surgery. When we operated again, we found the nested bowel had been necrotic, then excised the necrotic bowl and closed the fistula. 7 days later, the third operation was conducted because of intestinal perforation. There were many perforations in near-end of the intestinal canal, hence we did an enterostomy again. The patient went to another hospital when in a smooth condition, and died of the doubtful aggravating enteritis a month after leaving our hospital. Another case, a 35 days infant occurred intussusception 2 days after ileum colostomy for congenital megacolon, undergone laparotomy, reposited manually successfully, then recovered and discharged from hospital. Con-clusion: Postoperative intussusception of small infant is rare, and easy to delay in diagnosis because of atypical clinical symptoms and signs, so to small infant with abdominal surgery, it is necessary to prevent the occurrence of postoperative intussusception actively, and to those that have occurred postoperative intussusception, it should detect, diagnose and treat early.
文章引用: 段利琼 , 任红霞 (2016) 小婴儿腹部手术后肠套叠2例报告并文献复习。 亚洲儿科病例研究， 4， 1-4. doi: 10.12677/ACRP.2016.41001
Jiang, W.W., Tang, W.B. and Geng, Q.M. (2012) Postoperative Intussusception in Infants and Children: A Report of Seven Cases. Journal of Biomedical Research, 26, 66-68.
 罗正利, 马春秋, 黄茂华, 等. 小儿术后肠套叠的原因与临床特点探讨[J]. 中国综合临床, 2004, 20(5): 455-456.
Badriyyah, M., Mazeh, H. and Brocke, S. (2008) Prevention of Lipopolysaccharide-Inducd Intussusception in Mice by the COX2 Inhibitor Rofecoxib. Pediatric Surgery International, 24, 333-336.
Bai, Y.Z., Chen, H. and Wang, W.L. (2009) A Special Type of Postoperative Intussusception: Ileoileal Intussusception after surgical Reduction of Ileocolic Intussusception in infants and Children. Journal of Pediatric Surgery, 44, 755- 758.
 田洪孝, 张橇云. 小儿术后肠套叠的早期诊断[J]. 中华普通外科杂志, 2003, 18(6): 377.
 黄茂勇, 李维金, 等. 小儿肠套叠的cT诊断[J]. 医学临床研究, 2007, 24(5): 778-780.
 曾战东, 张宏伟, 魏建民, 等. 小儿腹部手术后小肠套叠7例[J]. 临床小儿外科杂志, 2010, 9(3): 238.
 文建国, 李德旭, 张展, 等. 婴幼儿腹部大手术后低钾血症对肠功能恢复的影响[J]. 中华小儿外科杂志, 1994(6): 337.
 李涛, 易军, 郭斌. 儿童继发性肠套叠的临床分析[J]. 中华小儿外科杂志, 2011, 32(2): 107-109.
 Yang, G., Wang, X.J. and Jiang, W.J. (2013) Postoperative Intussusceptions in Children and Infants: A Systematic Review. Pe-diatric Surgery International, 12, 1273-1279.
Justin, D. and Klein, C.G. (2013) Pe-diatric Postoperative Intussusception in the Minimally Invasive Surgery Era: A 13- Year, Single Center Experience. Journal of the American College of Surgeons, 216, 1089-1093.