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Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate.

Kristine D Slam1, Daniel H Teitelbaum

  • 1Department of Surgery, University of Toledo, Health Science Campus, Toledo, Ohio, USA. kslam@meduohio.edu

Journal of Pediatric Surgery
|July 10, 2007
PubMed
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This case study highlights multiple sequential intussusceptions in a preterm neonate, leading to mechanical bowel obstruction. Neonatal intussusception is rare and challenging to diagnose preoperatively, necessitating consideration of uncommon causes.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gastrointestinal Disorders

Background:

  • Abdominal obstruction in neonates has a broad differential diagnosis.
  • A methodical workup is crucial for determining the etiology of neonatal bowel obstruction.
  • Rare causes should be considered when initial contrast studies are inconclusive and symptoms persist.

Observation:

  • A preterm neonate presented with multiple sequential intussusceptions.
  • The condition resulted in a mechanical bowel obstruction.
  • Intussusception, though common in older infants, is a rare neonatal diagnosis.

Findings:

  • Neonatal intussusception is difficult to diagnose preoperatively.
  • This case illustrates a rare instance of sequential intussusceptions in a neonate.

Related Experiment Videos

  • Mechanical bowel obstruction was the outcome of the intussusceptions.

    • Implications:

    • Highlights the importance of considering rare causes of neonatal bowel obstruction.
    • Emphasizes the diagnostic challenges associated with neonatal intussusception.
    • Underscores the need for thorough evaluation in neonates with persistent abdominal symptoms.