Jejunojejunal intussusception: an unusual case of postoperative intestinal obstruction

Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report

Intussusception is a rare cause of intestinal obstruction in the postoperative setting. This report describes a rare case of intussusception in the early postoperative period following an emergent cesarean delivery of a premature triplet pregnancy, where the small intestine was fully transected. The intestine was repaired with a stapled primary side-to-side functional end-to-end anastomosis. Five days after being discharged, the patient was readmitted due to a small bowel obstruction due to intussusception. The anastomotic site was acting as the lead point, and it required resection. Bowel continuity was reestablished with a hand-sewn anastomosis in end-to-end fashion. The patient had an uneventful recovery and was discharged home. All three neonates were eventually discharged home and the patient was able to start breast feeding. This is believed to be the first case in the obstetric literature where intussusception occurred after intestinal repair of transected bowel during an obstetric emergency.

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Early bowel obstruction after a surgical procedure can be due to intussusception.

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Bowel anastomosis can be the lead point for intussusception requiring surgery.

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Both stapled and hand-sewn re-anastomosis techniques have benefits and drawbacks.

Metastatic melanoma causing recurrent intussusception and perforation of small bowel: case reports and literature review

Aim:

To present cases of recurred jejuno-jejunal intussusception and jejunal perforation due to melanoma.

Materials & methods:

Case 1: A 43-year-old male under treatment for malignant melanoma was presented with abdominal pain and distention. Ten centimeter intussuscepted jejunum was resected. Second exploration was done due to failure to pass gas and stool. The reintussusception was detected and resection of reintussuscepted jejunum was performed. Case 2: A 63-year-old male was presented with abdominal pain. Abdomen computed tomography showed free air in the abdomen suggesting intestinal perforations. Perforated area at 80 cm in the jejunum sutured.

Conclusion:

We present the seemingly first report of reintussusception of resected segment in a very short time. Surgeons should be aware of both intussusception and perforation in metastatic melanoma.