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Published on: February 17, 2023
[Neonatal intussusception]
1Hospital de niños Dr. R. Gutiérrez. Buenos Aires, Argentina.
Insights
Neonatal intussusception is rare and presents differently based on gestational age. This review identifies three distinct forms: prenatal, preterm postnatal, and term postnatal intussusception.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastrointestinal Diseases
Background:
- Intussusception is common in infants, typically with clear symptoms and good outcomes.
- Neonatal intussusception is exceptionally rare and lacks a defined clinical presentation.
- Clinical signs vary with gestational age, intestinal response, and infant's gestational age.
Observation:
- Presents two new cases of neonatal intussusception.
- Reviews global literature on neonatal intussusception.
- Categorizes neonatal intussusception into three distinct entities based on timing and infant maturity.
Findings:
- Prenatal (intrauterine) intussusception presents unique characteristics.
- Postnatal intussusception in preterm infants differs clinically.
- Postnatal intussusception in term infants has distinct features.
Implications:
- Highlights the need for tailored diagnostic and management approaches for each type.
- Emphasizes the importance of considering gestational age in neonatal intussusception diagnosis.
- Contributes to a better understanding of this rare neonatal surgical emergency.
Abstract:
Intussusception in infants and young children is a relatively common entity with a well defined clinical picture and a favorable outcome in most cases.The neonatal intussusceptions is extremely rare and does not have a well-defined clinical picture since its clinical manifestations vary according to the gestational time it occurs, the response of the injured intestine and the gestational age of the child concerned. Two new cases of neonatal intussusceptions are presented and a review of the world literature is performed. Given the stage of intussusceptions (pre- or postnatal) occurs and gestational age of the affected infant (preterm or term), there are three entities with clinical characteristics, topography and evolution rather different: prenatal or intrauterine intussusception, postnatal intussusception in the preterm and postnatal intussusception in the term infant.
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