Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases
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M. Martínez Biarge
Abstract
Intussusception is an extremely rare disorder in preterm infants and it is often misdiagnosed as necrotizing enterocolitis. We report a case of intussusception in a 30-day-old preterm infant of 26 weeks of gestational age and a birthweight of 610 g who was diagnosed via abdominal ultra sonography. A systematic review of the literature was performed and reports on 23 previous cases were found. The presence of recognizable causes of intussusception in preterms, such as Meckel's diverticulum, bowel polypus, etc. was very infrequent. Comorbidity before and after intussusception is heterogeneous and related to prematurity. The intussusception is predominantly located in the small bowel (91,6%)–ileal or jejunal. The condition is misdiagnosed as NEC and managed conservatively until clinical deterioration occurs. A definitive diagnosis is thus established during abdominal surgery, which is usually delayed an average of 9.5 days from the onset of symptoms. Our case illustrates the capability of abdominal ultrasonography to establish early diagnosis of intussusception in the premature newborn.
Copyright © 2004 by Walter de Gruyter GmbH & Co. KG
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Artikel in diesem Heft
- Fetal cardiovascular response to large placental chorioangiomas
- Characteristics of mothers who delivered the heaviest, average-weight, and lightest triplet sets
- Amniotic fluid concentrations of collagenase-1 and collagenase-3 are increased in polyhydramnios
- Oxytocic activity of thrombin: modulation of thrombin-induced gravid rat myometrial contractions by 5-hydroxytryptamine receptor antagonists
- Structural-tridimensional study of yolk sac in pregnancies complicated by diabetes
- Is cervical dilatation during parturition at term associated with apoptosis?
- Amnioreduction in patients with bulging prolapsed membranes out of the cervix and vaginal orifice in cervical cerclage
- The association of birthweight with maternal and cord serum and amniotic fluid growth hormone and insulin levels, and with neonatal and maternal factors in pregnant women who delivered at term
- Ultrasonographic fetal weight estimation: accuracy of formulas and accuracy of examiners by birth weight from 500 to 5000 g
- Atypical chronic lung disease in preterm infants
- Clinical characteristics and follow up of Down syndrome infants without congenital heart disease who presented with persistent pulmonary hypertension of newborn
- Mortality and long term morbidity in esophageal atresia: the reduced impact of low birth weight and maturity on surgical outcome
- Non-hydropic intrauterine fetal death more than five months after primary parvovirus B19 infection
- HELLP syndrome, multifactorial thrombophilia and postpartum myocardial infarction
- Management of cervical pregnancy: risk factors for failed systemic methotrexate
- Autologous cord blood transfusion in an infant with a huge sacrococcygeal teratoma
- Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases
- Book review
