Successful Endoscopic Repair of Postoperative Ileocecal Intussusception in An Adult

Abstract

Manabu Shiraishi, Chieri Kimura

Postoperative ileocecal intussusception is a rare complication in adult patients with abdominal aortic repair. A 63-year-old male patient with an abdominal aortic aneurysm was admitted to our hospital for abdominal aortic replacement. On the third postoperative day, he had nausea, vomiting, and distention. An abdominal x-ray showed air-fluid levels. His condition improved after 72 h of conservative treatment with long-tube suction for decompression. On the sixth postoperative day, he had acute abdominal pain. A computed tomography scan showed the typical intussusception picture. A diagnostic and therapeutic endoscopy were performed. An ileocecal intussusception 20 cm proximal to the ileocecal valve was found and endoscopically reduced.