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March 1964

Intussusception in the Early Postoperative PeriodReport of a Case in an Infant

Author Affiliations

Paul M. Brown, MD, The Portland Medical Center, Box 902, 511 SW Tenth Ave, Portland, Ore 97205.

Am J Dis Child. 1964;107(3):297-299. doi:10.1001/archpedi.1964.02080060299014

The causes of intussusception are many. In the adult conditions such as single or multiple intestinal polyps, intramural or polypoid intestinal lipomas or carcinomas, Meckel's diverticula, invagination of the appendix or the appendical stump, and "sleeving" of the mucosa as a lead point following intestinal intubation have been noted in association with the development of intussusception. Rare associated conditions such as bezoars, Schönlein-Henoch syndrome,1 and angiomas have been described.

In the child, intussusception is occasionally seen in association with acute mesenteric adenopathy. Rarely intussusception has developed in utero 2 and it has been noted in association with cystic fibrosis.3

Intussusception in the early postoperative period, although rare, is a circumstance that should be borne in mind if the child exhibits more than the expected amount of postoperative ileus. The following is a report of just such a case:

A 6-month-old white female entered Emanuel Hospital on Jan 26,

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