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Intrauterine intussusception and ileal atresia presenting as acute perforation

S B Kelly1, M P Singh

  • 1Paediatric Surgery Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London, U.K.

Acta Paediatrica Scandinavica
|December 1, 1991
PubMed

Insights

A premature infant experienced ileal perforation from intussusception, requiring surgical intervention. Early diagnosis of neonatal intussusception remains challenging, despite successful treatment outcomes.

Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Intestinal obstruction

Background:

  • Intussusception is a rare but serious condition in neonates.
  • Premature infants are at increased risk for gastrointestinal complications.
  • Caesarean section delivery and prematurity are potential risk factors.

Observation:

  • A 28-week premature infant developed acute ileal perforation 11 days post-birth.
  • The perforation was attributed to intussusception.
  • Clinical presentation mimicked other neonatal surgical emergencies, delaying diagnosis.

Findings:

  • Surgical management involved resection of the compromised ileal segment.
  • A temporary ileostomy was created, followed by end-to-end anastomosis.
  • The infant achieved a full recovery after surgical treatment.

Implications:

  • This case highlights the critical need for high clinical suspicion for intussusception in neonates.
  • Prompt surgical intervention is crucial for favorable outcomes in neonatal intussusception.
  • Further research into early diagnostic markers for neonatal intussusception is warranted.

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