ILIOCECAL INVAGINATION OF THE STUMP OF THE SMALL INTESTINE, AFTER RESECTION OF THE SMALL INTESTINE

Abstract

Patient D., born in 1968, was admitted with complaints of the presence of an ileostomy, cramping pains around the navel, epigastric region, right abdomen, nausea, non-passage of stool and gases through the ileostomy. From the anamnesis, the patient 6 months ago underwent the operation "Resection of the small intestine, the imposition of an iliostomy" for Crohn's disease complicated by perforation of the small intestine. After examination according to the standard, the patient was taken for surgery on an urgent delayed basis. After opening and revision of the abdominal cavity, the cause of intestinal obstruction was a plug between the anterior abdominal wall of the pelvic region and the loop of the small intestine, where the knee forms and the plug compresses the loops of the small intestine. With further revision, it was found that intussusception of the stump of the small intestine discharge loop through the Baugin's valve into the lumen of the cecum, where intussusception of the small intestine into the lumen of the large intestine is noted. Disinvagination of the small intestine stump was performed. In this case, necrosis of 1/3 of the invaginate is noted, the total length of the invaginate is 50 cm. The small intestine was resected proximally, leaving the healthy part of the intestine. The enteroenteroanastamosis is imposed side to side.