Intussusception in preterm infants: case report and literature review

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U Görgen-Pauly1, C Schultz, M Kohl

  • 1Department of Paediatric Surgery, Medical University of Lübeck, Lübeck, Germany.

European Journal of Pediatrics
|September 15, 1999
PubMed

Insights

Intussusception is rare in preterm infants but requires prompt diagnosis. Early recognition of symptoms like abdominal distension is crucial to prevent surgical complications.

Area of Science:

  • Neonatal Medicine
  • Pediatric Surgery

Background:

  • Intussusception is a rare but serious condition in preterm infants.
  • This report details a case in a 29-week gestational age infant and reviews 17 prior cases.

Observation:

  • Common clinical signs include severe abdominal distension, gastric aspirates, and bloody stools.
  • A palpable abdominal mass is a less frequent finding.
  • Radiographic signs of small bowel obstruction are key diagnostic indicators.

Findings:

  • Risk factors for intussusception in preterm infants appear multifactorial.
  • Symptoms often mimic necrotizing enterocolitis, complicating diagnosis.
  • Diagnosis delays averaged 7 days, increasing risks of bowel compromise.

Implications:

  • Consider intussusception in preterm infants presenting with acute abdominal distension and tenderness.
  • Timely diagnosis and surgical intervention are vital to improve outcomes.
  • Differentiating intussusception from necrotizing enterocolitis is critical for appropriate management.
Abstract

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