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Neonatal ileoileocolic intussusception associated with ileal polyp: report of one case

J Y Chen1, R I Lin, H C Chao

  • 1Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, R.O.C.

Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|July 31, 1998
PubMed

Insights

Neonatal intussusception, though rare, can be caused by an ileal polyp. This case highlights the importance of considering intussusception in newborns with intestinal obstruction symptoms.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Neonatal intussusception is an infrequent cause of intestinal obstruction in newborns.
  • Early diagnosis and management are crucial for favorable outcomes.

Observation:

  • A female neonate presented with irritability, bilious vomiting, and bloody stools on day 26 of life.
  • Physical examination revealed a palpable abdominal mass.
  • Abdominal sonography showed a long-segment intussusception with an associated hypoechoic mass.

Findings:

  • Laparotomy confirmed ileoileocolic intussusception.
  • The intussusception was found to be led by an ileal polyp.
  • Pathological examination verified the presence of a polyp.

Implications:

  • Neonatal intussusception can mimic other causes of intestinal obstruction, such as atresia, bands, necrotizing enterocolitis, or midgut volvulus.
  • This case underscores the necessity of including intussusception in the differential diagnosis for neonatal intestinal obstruction.
  • Prompt recognition and surgical intervention are vital for managing this condition.

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