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A case of neonatal intussusception
Journal of Pediatric Surgery
|April 1, 1980
Insights
A rare case of ileocolic intussusception in a neonate caused by a terminal ileum duplication is presented. Early surgical intervention is crucial for this condition, with barium enema being a key diagnostic method.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Intussusception is a common surgical emergency in infants.
- Ileocolic intussusception accounts for the majority of cases.
- Congenital anomalies can act as a leading point for intussusception.
Observation:
- A 48-hour-old neonate presented with ileocolic intussusception.
- The intussusception was caused by a saccular duplication of the terminal ileum.
- This duplication served as the leading point for the intussusception.
Findings:
- The case highlights the unique etiology of intussusception secondary to a congenital duplication.
- Saccular duplication of the terminal ileum is a rare cause of neonatal intussusception.
- Barium enema examination proved to be an effective diagnostic tool.
Implications:
- Early surgical intervention is critical for successful management of neonatal intussusception.
- Recognition of congenital anomalies as leading points is essential for diagnosis and treatment.
- Barium enema should be considered a primary diagnostic modality in suspected intussusception cases.
Abstract:
A case of ileocotic intussusception in a 48-hr-old neonate due to saccular duplication of the terminal ileum is presented. The unique nature of intussusception due to a leading point is underscored and the case for early surgical intervention is emphasized. Barium enema examination is stressed as a prime diagnostic tool whenever intussusception is suspected.