RESUMO
The authors present diagnosis and treatment of two children with postoperative intussusception. A 6-month baby with retroperitoneal teratoma developed clinical signs of intestinal obstruction in 2 days after surgery. The child underwent redo laparotomy, and ileocecal intussusception was found. In the second case, a 6-month baby with choledochal cyst underwent laparotomy, cyst excision and Roux-en-Y-hepaticojejunostomy. Six days later, clinical deterioration with signs of bowel obstruction appeared. Redo laparotomy was performed for early adhesive ileus, and ileoileal intussusception was observed. In both cases, postoperative intussusception was diagnosed during relaparatomy that confirms the complexity of diagnosis.
Assuntos
Procedimentos Cirúrgicos do Sistema Biliar , Cisto do Colédoco , Intussuscepção , Humanos , Criança , Lactente , Intussuscepção/diagnóstico , Intussuscepção/etiologia , Intussuscepção/cirurgia , Cisto do Colédoco/cirurgia , Período Pós-Operatório , Fígado/cirurgiaRESUMO
Treatment of 3 children with rare abdominal diseases are presented in the article: acute gangrenous cholecystitis in newborn, gallbladder torsion, vermiform appendix torsion. The authors recall the existence of such rare diseases, especially in those cases when clinical symptoms of acute surgical abdominal pathology do not fit into the well-known canons. Diagnosis was established intraoperatively in all children that confirms difficult diagnosis of these diseases.
