Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases
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...
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| Veröffentlicht in: | Journal of perinatal medicine 2004-01, Vol.32 (2), p.190-194 |
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| container_title | Journal of perinatal medicine |
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| creator | Biarge, M. Martínez García-Alix, A. Hoyo, M. Luisa del Alarcón, A. Pipaón, M. Sáenz de Hernández, F. Pérez, J. Quero, J. |
| description | 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. |
| doi_str_mv | 10.1515/JPM.2004.036 |
| format | Article |
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Martínez ; García-Alix, A. ; Hoyo, M. Luisa del ; Alarcón, A. ; Pipaón, M. Sáenz de ; Hernández, F. ; Pérez, J. ; Quero, J.</creator><creatorcontrib>Biarge, M. Martínez ; García-Alix, A. ; Hoyo, M. Luisa del ; Alarcón, A. ; Pipaón, M. Sáenz de ; Hernández, F. ; Pérez, J. ; Quero, J.</creatorcontrib><description>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.</description><identifier>ISSN: 0300-5577</identifier><identifier>EISSN: 1619-3997</identifier><identifier>DOI: 10.1515/JPM.2004.036</identifier><identifier>PMID: 15085900</identifier><identifier>CODEN: JPEMAO</identifier><language>eng</language><publisher>Berlin: Walter de Gruyter</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Delivery. Postpartum. Lactation ; Diagnosis, Differential ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - diagnosis ; Infant, Newborn, Diseases - diagnostic imaging ; Infant, Newborn, Diseases - surgery ; Infant, Premature ; Intensive care medicine ; Intussusception - diagnosis ; Intussusception - diagnostic imaging ; Intussusception - surgery ; Jejunal Diseases - diagnosis ; Jejunal Diseases - diagnostic imaging ; Jejunal Diseases - surgery ; Medical sciences ; Other diseases. Semiology ; Radiography ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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Martínez</creatorcontrib><creatorcontrib>García-Alix, A.</creatorcontrib><creatorcontrib>Hoyo, M. Luisa del</creatorcontrib><creatorcontrib>Alarcón, A.</creatorcontrib><creatorcontrib>Pipaón, M. Sáenz de</creatorcontrib><creatorcontrib>Hernández, F.</creatorcontrib><creatorcontrib>Pérez, J.</creatorcontrib><creatorcontrib>Quero, J.</creatorcontrib><title>Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases</title><title>Journal of perinatal medicine</title><addtitle>Journal of Perinatal Medicine</addtitle><description>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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Diagnosis, Differential</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - diagnosis</subject><subject>Infant, Newborn, Diseases - diagnostic imaging</subject><subject>Infant, Newborn, Diseases - surgery</subject><subject>Infant, Premature</subject><subject>Intensive care medicine</subject><subject>Intussusception - diagnosis</subject><subject>Intussusception - diagnostic imaging</subject><subject>Intussusception - surgery</subject><subject>Jejunal Diseases - diagnosis</subject><subject>Jejunal Diseases - diagnostic imaging</subject><subject>Jejunal Diseases - surgery</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Radiography</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Twins</subject><subject>Ultrasonography</subject><issn>0300-5577</issn><issn>1619-3997</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1vEzEQhi1ERUPhxhn5AqduGNs766w4oYrSNuWjUjlbE69XctiP1PYWcuM_8A_5JXWUqHAaaebRq3kfxl4JmAsU-O7q2-e5BCjnoKonbCYqUReqrvVTNgMFUCBqfcyex7gGEIgon7FjgbDAGmDG1pdDmmKconWb5MeB-4ET3wSXXOj54MaBknufV_cubHmg4E55T-sxZDC5mPxAXcbHVed6_vf3Hx63Mbmekrc8uHvvfvKx5Zaiiy_YUUtddC8P84R9P_94e3ZRXH_9dHn24bqwJUIqNJDSgloFhAK0Ikm2XpTYaIVkHUKNdoUknZS6aaiptGotElUaNZSyUSfs7T43v3U35R9N73O9rqNcZ4pGi4WstZYZPN2DNowxBteaTfA9ha0RYHZuTXZrdm5Ndpvx14fcadW75h98kJmBNweAoqWuDTRYH__jqlxM7IKKPeezql-Pdwo_TC6j0dzclkYsl8vy4uaLOVcPtyGR-A</recordid><startdate>20040101</startdate><enddate>20040101</enddate><creator>Biarge, M. 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Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - diagnosis</topic><topic>Infant, Newborn, Diseases - diagnostic imaging</topic><topic>Infant, Newborn, Diseases - surgery</topic><topic>Infant, Premature</topic><topic>Intensive care medicine</topic><topic>Intussusception - diagnosis</topic><topic>Intussusception - diagnostic imaging</topic><topic>Intussusception - surgery</topic><topic>Jejunal Diseases - diagnosis</topic><topic>Jejunal Diseases - diagnostic imaging</topic><topic>Jejunal Diseases - surgery</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Radiography</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Twins</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biarge, M. Martínez</creatorcontrib><creatorcontrib>García-Alix, A.</creatorcontrib><creatorcontrib>Hoyo, M. 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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.</abstract><cop>Berlin</cop><cop>New York, NY</cop><pub>Walter de Gruyter</pub><pmid>15085900</pmid><doi>10.1515/JPM.2004.036</doi><tpages>5</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Delivery. Postpartum. Lactation Diagnosis, Differential Emergency and intensive care: neonates and children. Prematurity. Sudden death Female Gastroenterology. Liver. Pancreas. Abdomen Gynecology. Andrology. Obstetrics Humans Infant, Newborn Infant, Newborn, Diseases - diagnosis Infant, Newborn, Diseases - diagnostic imaging Infant, Newborn, Diseases - surgery Infant, Premature Intensive care medicine Intussusception - diagnosis Intussusception - diagnostic imaging Intussusception - surgery Jejunal Diseases - diagnosis Jejunal Diseases - diagnostic imaging Jejunal Diseases - surgery Medical sciences Other diseases. Semiology Radiography Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Twins Ultrasonography |
| title | Intussusception in a preterm neonate; a very rare, major intestinal problem – systematic review of cases |
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