Abstract
Multiple Intussusceptions Associated with Meconium Plugs: A Case and Literature Review
Highlights
Intussusception is a common cause of an acute abdomen in children less than two years old [1] most cases occur under the age of one year, it is relatively uncommon in neonates, comprising 3% of all causes of neonatal intestinal obstruction and 0.3% of all pediatric intussusceptions [2,3]
As compared to term neonates, intussusception is even rarer in preterm neonates, where the diagnosis is usually delayed as it is often confused with necrotizing enterocolitis (NEC), a much more common abdominal pathology in preterm neonates [2]
Cystic fibrosis screening in our patient was negative, meconium plugs could have served as the lead points for the multiple intussusceptions
Summary
Intussusception is a common cause of an acute abdomen in children less than two years old [1] most cases occur under the age of one year, it is relatively uncommon in neonates, comprising 3% of all causes of neonatal intestinal obstruction and 0.3% of all pediatric intussusceptions [2,3]. We describe a 25 week gestation male neonate who had both jejuno-jejuno and jejuno-ileal intussusceptions To our knowledge this is only the second reported case of multiple intussusceptions in a preterm neonate. Due to poor respiratory effort, the infant was endotracheally intubated and given a dose of surfactant He received antibiotics for 48 hours and was extubated on the second day of life but had to be reintubated the same day for frequent apneas despite being on caffeine. The infant was started on trophic feeds on day 4, which he tolerated for 48 hours but developed hypotension and a dusky looking abdominal wall. An abdominal ultrasound on day 11 of life showed mild thickening and increased echogenicity of bowel wall and mild ascites without any evidence of intussusception. The day, the infant was stable to undergo a laprotomy which showed the presence of jejuno-jejuno and jejuno-ileal intussusceptions along with two associated perforations.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
