Ileo-ileal intussusception in a premature neonate: an unusual cause of NEC in premature babies.


Altuntas N., Boyunaga O., Karabulut R., Kazanci E., Kulali F., Onal E., ...Daha Fazla

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, cilt.25, sa.1, ss.76-7, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2015
  • Dergi Adı: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.76-7
  • Anahtar Kelimeler: Intussusception, Necrotizing enterocolitis, Preterm, Newborn
  • Gazi Üniversitesi Adresli: Evet

Özet

Intussusception is a rare entity in neonates. It may present with non-specific signs including abdominal distension, feeding intolerance, vomiting and bloody stools. Symptomatology is similar to Necrotizing Entero-Colitis (NEC). Ultrasound can help to establish early diagnosis in neonate. A 27-week preterm newborn was initially suspected as NEC based on abdominal distention, bilious vomiting, worsening clinical condition and dilated loops of bowel on X-ray, which turned out to be ileo-ileal intussusception. Diagnosis was made by ultrasound obtained for a palpable mass to rule out intra abdominal abscess and lack of improvement in clinical condition despite 5 days of conservative treatment. Surgery was performed consisting of removal of the necrotic intussusception area and end-to-end anastomosis and patient was discharged from hospital on day 60 of life. As a conclusion, pathological abdominal findings in preterm newborns can also be due to conditions other than NEC and ultrasound may be a useful tool for timely and accurate diagnosis.