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Wahid FN, Malkan AD, McCarville MB, et al. Double small bowel intussusception complicating bilateral partial nephrectomies. J Pediatr Surg Case Rep. 2014;2(1):30-32doi: 10.1016/j.epsc.2013.12.003.
Wahid, F. N., Malkan, A. D., McCarville, M. B., & Davidoff, A. M. (2014). Double small bowel intussusception complicating bilateral partial nephrectomies. Journal of pediatric surgery case reports, 2(1), 30-32. https://doi.org/10.1016/j.epsc.2013.12.003
Wahid, Fazal N, et al. "Double small bowel intussusception complicating bilateral partial nephrectomies." Journal of pediatric surgery case reports vol. 2,1 (2014): 30-32. doi: https://doi.org/10.1016/j.epsc.2013.12.003
Wahid FN, Malkan AD, McCarville MB, Davidoff AM. Double small bowel intussusception complicating bilateral partial nephrectomies. J Pediatr Surg Case Rep. 2014 Jan;2(1):30-32. doi: 10.1016/j.epsc.2013.12.003. PMID: 24795858; PMCID: PMC4005927.
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J Pediatr Surg Case Rep. 2014 Jan;2(1):30-32. doi: 10.1016/j.epsc.2013.12.003.

Double small bowel intussusception complicating bilateral partial nephrectomies.

Journal of pediatric surgery case reports

Fazal N Wahid, Alpin D Malkan, M Beth McCarville, Andrew M Davidoff

Affiliations

  1. Department of Surgery, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.
  2. Department of Radiological Sciences, MS 133, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA.

PMID: 24795858 PMCID: PMC4005927 DOI: 10.1016/j.epsc.2013.12.003

Abstract

An 11.5-month-old male, diagnosed with bilateral Wilms tumor at 10 months of age, received 6 weeks of chemotherapy and subsequently underwent bilateral partial nephrectomies. On postoperative day 5, he had crampy abdominal pain and bilious vomiting. Abdominal ultrasound confirmed the presence of an intussusception in the right lower quadrant. Laparotomy demonstrated two separate areas of small intestinal intussusception located at jejuno-jejunal and ileo-ileal locations. The patient was successfully treated with manual reduction. A high index of suspicion is necessary to diagnose and treat patients with two different points of intussusception.

Keywords: bilateral partial nephrectomies; laparotomy; postoperative intussusception

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