Ultrasonographic findings of multiple intussusception in an extremely preterm infant.

Published on May 1, 2019in Archives of Disease in Childhood3.041
· DOI :10.1136/ARCHDISCHILD-2018-314885
Akari Takai2
Estimated H-index: 2
(Kyoto Prefectural University of Medicine),
Tatsuji Hasegawa7
Estimated H-index: 7
(Kyoto Prefectural University of Medicine)
+ 2 AuthorsHajime Hosoi33
Estimated H-index: 33
(Kyoto Prefectural University of Medicine)
A 613 g girl was born at 23 weeks of gestation by vaginal delivery due to maternal chorioamnionitis. She developed constipation and abdominal distention on day 2, a small amount of peritoneal fluid and low blood pressure on day 4 and bloody stool on day 6. Abdominal X-ray showed a non-specific bowel gas pattern. Necrotising enterocolitis (NEC) was suspected and treated by fasting, vasopressor support …
Intussusception is an extremely rare disorder in preterm infants and it is often misdiagnosed as necrotizing enterocolitis. We report a case of intussusception in a 30-day-old preterm infant of 26 weeks of gestational age and a birthweight of 610 g who was diagnosed via abdominal ultra sonography. A systematic review of the literature was performed and reports on 23 previous cases were found. The presence of recognizable causes of intussusception in preterms, such as Meckel's diverticulum, bowel...
29 CitationsSource
#1Jeffrey R. Avansino (UW: University of Washington)H-Index: 15
#2Scott Bjerke (IU: Indiana University)H-Index: 2
Last. Robert S. Sawin (UW: University of Washington)H-Index: 25
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Abstract Background/Purpose: Less than 1.3% of all cases of intussusception occur in term neonates. Intussusception in premature neonates (IPN) is exceedingly rare. Its rarity and difficulty to differentiate IPN from common neonatal diseases like necrotizing enterocolitis (NEC) often delays its diagnosis. The authors set out to characterize diagnosis, treatment, and outcome of this rare condition. Methods: The authors analyzed 2 new cases of IPN and 33 previously reported cases from the literatu...
38 CitationsSource
#1K. J. Price (Jessop Hospital)H-Index: 1
#2N. R. C. RobertonH-Index: 1
Last. R. G. PearseH-Index: 1
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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 ca...
20 CitationsSource
Cited By1
#2Gina LimH-Index: 7
Last. Min Jeng Cho (UOU: University of Ulsan)H-Index: 1
view all 5 authors...