Ileo-Ileal intussusception in a premature neonate: an unusual cause of NEC in premature babies
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2015; 25 (1): 76-77
em Inglês
| IMEMR
| ID: emr-167501
ABSTRACT
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
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Recém-Nascido
/
Recém-Nascido Prematuro
/
Enterocolite Necrosante
/
Doenças do Íleo
Tipo de estudo:
Relato de Casos
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
J. Coll. Physicians Surg. Pak.
Ano de publicação:
2015
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