Intussusception following resection of Wilms tumor |
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Authors: | William C Hulbert Jr MD John R Valvo MD Anthony A Caldamone MD Thomas C Putnam MD Robert W Emmens MD Ronald Rabinowitz MD |
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Institution: | From the Department of Urology and Division of Pediatric Surgery, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA |
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Abstract: | Postoperative intussusception is a documented complication of pediatric surgical and pediatric urologic abdominal operations. In contrast to "primary" intussusception's triad of crampy abdominal pain, palpable abdominal mass, and "currant jelly" stools, postoperative intussusception is generally characterized by abdominal pain and vomiting. An abdominal mass is not usually palpable, and few children have bloody stools. Proper diagnosis and treatment may be delayed because of similar abdominal symptoms in children who may be receiving radiation and chemotherapy, or with prolonged ileus. Two children operated on for Wilms tumor demonstrate the need for awareness of this potential problem in the postoperative patient. |
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