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Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate

2007; Elsevier BV; Volume: 42; Issue: 7 Linguagem: Inglês

10.1016/j.jpedsurg.2007.02.028

1531-5037

Kristine Slam, Daniel H. Teitelbaum,

Congenital gastrointestinal and neural anomalies

Abstract We present a case of multiple sequential intussusceptions in a preterm neonate that resulted in mechanical bowel obstruction. The differential diagnosis of abdominal obstruction in a neonate is extensive, requiring a thorough review of presentation and methodical workup to determine etiology (Teitelbaum DH. Obturation obstruction of the intestine. In: O'Neill JA, editor. Principles of pediatric surgery . St. Louis (MO): Mosby, 2003. p. 605-612). Rare causes must be considered in a patient with no obvious etiology on contrast studies and persistent symptoms. Intussusception, a common cause of obstruction and pain in older infants and children, can rarely occur in neonates and is unfortunately difficult to diagnose preoperatively (J Pediatr . 1955;47:87-94; Pediatr Surg Int . 1998;13:232-236; Ann Saudi Med. 2000; 20:310-312; Eur J Pediatr . 1999;158:830-832; J Paedatr Child Health. 2004;40:388-391; Radiology. 1977;125:463-466; J Perinat Med. 2004;32:190-194).