Abstract
Two cases of intussusception in infants born at 26 and 30 weeks' gestation are described. The two infants presented in the neonatal period with abdominal distension, intolerance of feeds, and rectal bleeding. An initial diagnosis of necrotising enterocolitis was made and the infants were treated medically. This led to a delay in the diagnosis of the intussusception. Published work on neonatal intussusception is reviewed and attention is drawn to the fact that the presenting signs and symptoms can be similar to those of necrotising enterocolitis. A diagnosis of intussusception should therefore be considered in any preterm infant with suspected necrotising enterocolitis.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bowerman R. A., Silver T. M., Jaffe M. H. Real-time ultrasound diagnosis of intussusception in children. Radiology. 1982 May;143(2):527–529. doi: 10.1148/radiology.143.2.7071358. [DOI] [PubMed] [Google Scholar]
- Ein S. H., Marshall D. G., Girvan D. Peritoneal drainage under local anesthesia for perforations from necrotizing enterocolitis. J Pediatr Surg. 1977 Dec;12(6):963–967. doi: 10.1016/0022-3468(77)90607-8. [DOI] [PubMed] [Google Scholar]
- Glick B., Alpan G., Vinograd I., Udassin R., Mogle P., Eyal F. Meconium plugs and intussusception in a premature infant. Am J Perinatol. 1985 Apr;2(2):67–69. doi: 10.1055/s-2007-999916. [DOI] [PubMed] [Google Scholar]
- Janik J. S., Ein S. H. Peritoneal drainage under local anesthesia for necrotizing enterocolitis (NEC) perforation: a second look. J Pediatr Surg. 1980 Aug;15(4):565–566. doi: 10.1016/s0022-3468(80)80774-3. [DOI] [PubMed] [Google Scholar]
- Patriquin H. B., Afshani E., Effman E., Griscom T., Johnson F., Kramer S. S., Rapp K., Reilly B. J. Neonatal intussusception. Report of 12 cases. Radiology. 1977 Nov;125(2):463–466. doi: 10.1148/125.2.463. [DOI] [PubMed] [Google Scholar]
- Pracros J. P., Tran-Minh V. A., Morin de Finfe C. H., Deffrenne-Pracros P., Louis D., Basset T. Acute intestinal intussusception in children. Contribution of ultrasonography (145 cases). Ann Radiol (Paris) 1987;30(7):525–530. [PubMed] [Google Scholar]
- RACHELSON M. H., JERNIGAN J. P., JACKSON W. F. Intussusception in the newborn infant with spontaneous expulsion of the intussusceptum; a case report and review of the literature. J Pediatr. 1955 Jul;47(1):87–94. doi: 10.1016/s0022-3476(55)80127-8. [DOI] [PubMed] [Google Scholar]
- Rabinowitz J. G., Siegle R. L. Changing clinical and roentgenographic patterns of necrotizing enterocolitis. AJR Am J Roentgenol. 1976 Mar;126(3):560–566. doi: 10.2214/ajr.126.3.560. [DOI] [PubMed] [Google Scholar]
- SHNITKA T. K., SHERBANIUK R. W. Congenital intussusception complicated by meconium peritonitis; report of a case. Obstet Gynecol. 1956 Mar;7(3):293–298. [PubMed] [Google Scholar]
- Smith V. S., Giacoia G. P. Intussusception associated with necrotizing enterocolitis. Clin Pediatr (Phila) 1984 Jan;23(1):43–45. doi: 10.1177/000992288402300108. [DOI] [PubMed] [Google Scholar]
- Stine M. J., Harris H. Intussusception in a premature infant simulating neonatal necrotizing enterocolitis. Am J Dis Child. 1982 Jan;136(1):76–77. doi: 10.1001/archpedi.1982.03970370078023. [DOI] [PubMed] [Google Scholar]
- TALWALKER V. C. Intussusception in the newborn. Arch Dis Child. 1962 Apr;37:203–208. doi: 10.1136/adc.37.192.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Todani T., Tabuchi K., Tanaka S. Intestinal atresia dur to intrauterine intussusception: analysis of 24 cases in Japan. J Pediatr Surg. 1975 Aug;10(4):445–451. doi: 10.1016/0022-3468(75)90183-9. [DOI] [PubMed] [Google Scholar]