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Ileo-colic intussusception in premature neonate
1General Surgery Department, People's College of Medical Sciences and Research Centre Bhopal, Bhopal, India.
BMJ Case Reports
|June 7, 2012
Summary
Neonatal intussusception is rare but presents with symptoms like feeding intolerance and abdominal distension. This case highlights ileo-colic intussusception mimicking necrotising enterocolitis in a neonate.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastroenterology
Background:
- Intussusception is uncommon in neonates, often presenting with non-specific symptoms.
- Differential diagnosis in neonates with intestinal obstruction is broad, including necrotising enterocolitis.
Observation:
- A 12-day-old neonate presented with feeding intolerance, constipation, abdominal distension, and bilious aspirate.
- Per-rectal examination revealed necrotic haemorrhagic fluid, initially suggesting necrotising enterocolitis.
Findings:
- Exploration revealed ileo-colic intussusception, an exceedingly rare condition in premature neonates.
- The clinical presentation mimicked necrotising enterocolitis, leading to initial misdiagnosis.
Implications:
- Vigilant clinical assessment is crucial for neonates with suspected intestinal obstruction.
- Consider intussusception in the differential diagnosis of neonatal intestinal obstruction, even in premature infants.
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