Download PDF
Am J Perinatol 2007; 24(1): 023-025
DOI: 10.1055/s-2006-958154
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Intestinal Stenosis Caused by Perinatal Intussusception in a Full-Term Neonate

Olakayode O. Ogundoyin1 , Dare I. Ogunlana1 , Omolara M. Onasanya1
  • 1Division of Pediatric Surgery, Department of Surgery, University College Hospital, Ibadan, Nigeria
Further Information

Publication History

Publication Date:
27 December 2006 (online)

Also available at
    Permissions and Reprints

ABSTRACT

Perinatal intussusception is rare, but can be seen in both premature and full-term neonates. The symptoms and signs are similar to those seen in necrotizing enterocolitis (NEC), causing the diagnosis of intussusception to be delayed. We report a case of intussusception that presented with features suggestive of NEC in a 3.4-kg, full-term female neonate. Diagnosis of intussusception was made with a plain abdominal x-ray and abdominal ultrasound. During surgery, an ileocolic intussusception with intestinal stenosis was found. Although intestinal stenosis and atresia are commonly found in premature infants, these entities can also occur in a full-term infant. Early diagnosis is needed to reduce the high morbidity and mortality in these infants.

KEYWORDS

Intussusception - intestinal stenosis - necrotizing enterocolitis

REFERENCES

  • 1 Al-Salem A H, Habash B M. Ileoileal intussusception: a report of four cases.  Ann of Saudi Med. 2000;  20 310-312
    PubMedSearch in Google Scholar
  • 2 Todani T, Tabuchi K, Tanaka S. Intestinal atresia due to intra-uterine intussusception: analysis of 24 cases in Japan.  J Pediatr Surg. 1975;  10 445-451
    CrossrefPubMedSearch in Google Scholar
  • 3 Pavri D R, Marshall D G, Armstrong R F, Gorodzinsky F P. Intra-uterine intussusception: case report and literature review.  Can J Surg. 1983;  26 376-378
    PubMedSearch in Google Scholar
  • 4 Adejuyigbe O, Odesanmi W O. Intra-uterine intussusception causing intestinal atresia.  J Pediatr Surg. 1990;  25 562-563
    CrossrefPubMedSearch in Google Scholar
  • 5 Price K J, Roberton N R, Pearse R G. Intussusception in preterm infants.  Arch Dis Child. 1993;  68 41-42
    PubMedSearch in Google Scholar
  • 6 Iuchtman M, Iurman S, Levin M. Neonatal intussusception misdiagnosed as necrotizing enterocolitis.  Am J Perinatol. 1995;  12 245-246
    PubMedSearch in Google Scholar
  • 7 Mooney D P, Steinthorsson G, Shorter N A. Perinatal intussusception in premature infants.  J Pediatr Surg. 1996;  31 695-697
    CrossrefPubMedSearch in Google Scholar
  • 8 Wang N L, Yeh M L, Chang P Y et al.. Prenatal and neonatal intussusception.  Pediatr Surg Int. 1998;  13 232-236
    CrossrefPubMedSearch in Google Scholar
  • 9 Avansino J R, Bjerke S, Hendrickson M, Stelzner M, Sawin R. Clinical features and treatment outcome of intussusception in premature neonates.  J Pediatr Surg. 2003;  38 1818-1821
    CrossrefPubMedSearch in Google Scholar
  • 10 Martinez Biarge M, Garcia-Alix A, Luisa de Hoyo M et al.. Intussusception in a preterm neonate: a very rare major intestinal problem-systematic review of cases.  J Perinat Med. 2004;  32 190-194
    CrossrefPubMedSearch in Google Scholar

Olakayode O Ogundoyin

Department of Surgery, College of Medicine, University College Hospital

PMB 5116, Ibadan, Nigeria