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Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity
Intussusception is a very rare cause of intestinal obstruction in neonates. It is of extremely rare occurrence among premature neonates. We present a case of 11-day-old premature neonate who presented with abdominal distension, intolerance to feeds, vomiting, significant bilious aspirate and bleedin...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955507/ https://www.ncbi.nlm.nih.gov/pubmed/25659559 http://dx.doi.org/10.4103/0189-6725.150993 |
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author | Prakash, Advait Doshi, Bhavesh Singh, Sangram Vyas, Tanmay Jain, Anvesh |
author_facet | Prakash, Advait Doshi, Bhavesh Singh, Sangram Vyas, Tanmay Jain, Anvesh |
author_sort | Prakash, Advait |
collection | PubMed |
description | Intussusception is a very rare cause of intestinal obstruction in neonates. It is of extremely rare occurrence among premature neonates. We present a case of 11-day-old premature neonate who presented with abdominal distension, intolerance to feeds, vomiting, significant bilious aspirate and bleeding per rectum. The initial diagnosis of necrotizing enterocolitis (NEC) led to a delay in the diagnosis. On exploratory laparotomy, it turned out to be a case of ileo-colic intussusception with Meckel's diverticulum as a lead point. This site of intussusception (ileo-colic) and presence of a lead point among premature neonate is of exceedingly rare occurrence and very few such cases have been reported. In this article, the published work about clinical features and management on intussusceptions in premature neonates has been reviewed. The authors intend to highlight the difficulty in distinguishing the NEC and intussusception. Subtle clinical and radiological features which can help in differentiating the two conditions have been emphasized. This can avoid the delay in diagnosis and management which can prove critical. High index of suspicion with timely intervention is the key for optimizing outcome. A diagnosis of intussusception should always be considered in any preterm infant with suspected NEC. |
format | Online Article Text |
id | pubmed-4955507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-49555072016-09-01 Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity Prakash, Advait Doshi, Bhavesh Singh, Sangram Vyas, Tanmay Jain, Anvesh Afr J Paediatr Surg Case Report Intussusception is a very rare cause of intestinal obstruction in neonates. It is of extremely rare occurrence among premature neonates. We present a case of 11-day-old premature neonate who presented with abdominal distension, intolerance to feeds, vomiting, significant bilious aspirate and bleeding per rectum. The initial diagnosis of necrotizing enterocolitis (NEC) led to a delay in the diagnosis. On exploratory laparotomy, it turned out to be a case of ileo-colic intussusception with Meckel's diverticulum as a lead point. This site of intussusception (ileo-colic) and presence of a lead point among premature neonate is of exceedingly rare occurrence and very few such cases have been reported. In this article, the published work about clinical features and management on intussusceptions in premature neonates has been reviewed. The authors intend to highlight the difficulty in distinguishing the NEC and intussusception. Subtle clinical and radiological features which can help in differentiating the two conditions have been emphasized. This can avoid the delay in diagnosis and management which can prove critical. High index of suspicion with timely intervention is the key for optimizing outcome. A diagnosis of intussusception should always be considered in any preterm infant with suspected NEC. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4955507/ /pubmed/25659559 http://dx.doi.org/10.4103/0189-6725.150993 Text en Copyright: © African Journal of Paediatric Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Prakash, Advait Doshi, Bhavesh Singh, Sangram Vyas, Tanmay Jain, Anvesh Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title | Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title_full | Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title_fullStr | Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title_full_unstemmed | Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title_short | Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity |
title_sort | intussusception in a premature neonate: a rare and often misdiagnosed clinical entity |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955507/ https://www.ncbi.nlm.nih.gov/pubmed/25659559 http://dx.doi.org/10.4103/0189-6725.150993 |
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