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...

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Main Authors: Allen Star, Valeria Ripa, Fariha Sheikh, Wei Wei Zhang
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911222000881
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author Allen Star
Valeria Ripa
Fariha Sheikh
Wei Wei Zhang
author_facet Allen Star
Valeria Ripa
Fariha Sheikh
Wei Wei Zhang
author_sort Allen Star
collection DOAJ
description 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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spelling doaj.art-8041cc1723f1405e9896e35e71c6393f2022-12-22T03:01:29ZengElsevierCase Reports in Women's Health2214-91122022-10-0136e00468Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case reportAllen Star0Valeria Ripa1Fariha Sheikh2Wei Wei Zhang3Corresponding author.; Department of Surgery, Rutgers New Jersey Medical School, 185 S Orange Ave G506, Newark, NJ 07103, USADepartment of Surgery, Rutgers New Jersey Medical School, 185 S Orange Ave G506, Newark, NJ 07103, USADepartment of Surgery, Rutgers New Jersey Medical School, 185 S Orange Ave G506, Newark, NJ 07103, USADepartment of Surgery, Rutgers New Jersey Medical School, 185 S Orange Ave G506, Newark, NJ 07103, USAIntussusception 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.http://www.sciencedirect.com/science/article/pii/S2214911222000881IntussusceptionPregnancyObstructionSmall bowelDelivery
spellingShingle Allen Star
Valeria Ripa
Fariha Sheikh
Wei Wei Zhang
Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
Case Reports in Women's Health
Intussusception
Pregnancy
Obstruction
Small bowel
Delivery
title Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
title_full Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
title_fullStr Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
title_full_unstemmed Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
title_short Intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy: A case report
title_sort intussusception after injury to the small intestine during emergent cesarean delivery of a premature triplet pregnancy a case report
topic Intussusception
Pregnancy
Obstruction
Small bowel
Delivery
url http://www.sciencedirect.com/science/article/pii/S2214911222000881
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