[Intestinal intussusception in a newborn (author's transl)].

Area of Science:

• Pediatric Surgery
• Neonatal Medicine
• Gastrointestinal Radiology

Background:

• Intestinal intussusception (I.I.) is an uncommon condition in neonates.
• Neonatal I.I. exhibits distinct clinical and radiological features compared to older children.
• Unspecific symptoms often delay diagnosis, increasing the risk of severe complications.

Purpose of the Study:

• To describe a case of neonatal intestinal intussusception.
• To review the literature on intestinal intussusception in newborns.
• To highlight the diagnostic challenges and clinical characteristics of I.I. in neonates.

Main Methods:

• Case report of a newborn with intestinal intussusception.
• Literature review of 42 previously reported cases of neonatal I.I.
• Analysis of clinical presentation, radiological findings, and outcomes.

Main Results:

• Neonatal intestinal intussusception is rare, with unique presentations.
• Diagnosis is challenging due to non-specific symptoms.
• High rates of intestinal necrosis and perforation are observed, linked to diagnostic delays.
• Underlying organic lesions are more common in neonatal intussusception.

Conclusions:

• Intestinal intussusception in neonates requires prompt diagnosis and management.
• Early recognition is critical to mitigate high mortality and morbidity.
• The presence of organic lesions necessitates thorough investigation in neonatal cases.