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[Intussusception in the newborn (author's transl)]

W Lambrecht, H H Hellwege, E Schaefer

    Monatsschrift Fur Kinderheilkunde
    |January 1, 1980
    PubMed
    Summary

    A newborn experienced bloody stools and poor appetite due to ileal intussusception caused by a cystic duplication. Surgical resection of the ileocecal region resolved the condition, highlighting unique challenges in neonatal intussusception.

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    Area of Science:

    • Pediatric Surgery
    • Neonatal Medicine
    • Gastrointestinal Radiology

    Background:

    • Intussusception is a significant cause of bowel obstruction in infants.
    • Neonatal intussusception is rare and often associated with specific underlying pathologies.
    • Early diagnosis and surgical intervention are crucial for favorable outcomes.

    Observation:

    • A five-day-old male neonate presented with hematochezia and anorexia.
    • Radiographic imaging revealed intussusception of the small intestine.
    • Intussusception was attributed to a cystic duplication of the ileum near the ileocecal valve.

    Findings:

    • Surgical exploration confirmed ileal intussusception secondary to a cystic ileal duplication.
    • An ileocecal resection was performed to address the intussusception.
    • The neonate experienced an uneventful postoperative recovery.

    Implications:

    • Cystic duplications of the ileum are a potential cause of neonatal intussusception.
    • Prompt surgical management of intussusception in neonates can lead to successful outcomes.
    • This case underscores the importance of considering rare etiologies in neonatal bowel obstruction.

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