Abstract

A Case Report, Ileo-Ileal Intussusception in Preterm Neonate: An unusual location

Highlights

  • Ileo-ileal Intussusceptions occurrence is very rare in neonatal period and even extremely rare in preterm neonate [1]

  • We present a case of male preterm neonate presented with clinical features of necrotising enterocolitis and diagnosed as ileo-ileal Intussusceptions

  • The neonate with high index of suspicion with no evidence of sepsis, limited to abdomen and clinically stable can undergo contrast enema or abdominal ultrasonography which is more helpful for early diagnosis and management of the intussusceptions

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Summary

Background

Intussuception is rare cause of surgical emergency in neonate, and still more rarer in preterm neonate. The clinical features can mimic necrotising enterocoloitis or intestinal obstruction. Case summary: We report a case of ileo-ileal intussusceptions in a male preterm infant of 28weeks of gestation who was born to a primi mother from south India. The neonate initially had feed intolerance, abdominal distention and recurrent apneas on day 8 of life. We kept necrotising enterocolitis as the primary diagnosis. The diagnosis of ileo-ileal intussusceptions was made only at the time of laprotomy. Resection of the gangrenous segment and anastomosis of the healthy gut was done

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