Post-myomectomy intussusception: report of two cases

Niger J Med. 2012 Oct-Dec;21(4):462-5.

Abstract

Background: Post-myomectomy intussusception is a very rare cause of post-operative intestinal obstruction in adult surgical practice. Preoperative diagnosis is usually missed or delayed because the symptoms are usually subacute and nonspecific.

Method: The case notes of the patients were retrieved and relevant data extracted and summarized. An extensive literature search was done and results reviewed and compared with the present case.

Results: The two patients reported developed features of post operative intestinal obstructions which were thought to be due to adhesive bands and initial conservative managements instituted. Exploratory laparotomies later revealed ileo-ileal and jejuno-ileal intussusceptions which were reduced without resection with good outcome.

Conclusion: Intussusception is a rare but serious complication of myomectomy. High index of suspicion with prompt intervention and early team management optimize outcomes.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Ileal Diseases / surgery*
  • Intussusception / diagnosis
  • Intussusception / surgery*
  • Jejunal Diseases / surgery*
  • Postoperative Complications / surgery*
  • Uterine Myomectomy*