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Revista Mexicana de Pediatría

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2002, Number 2

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Rev Mex Pediatr 2002; 69 (2)

An intussusception case in a premature neonate

Aguilar NHJ, Cantú CO, Ochoa CMG, Rodríguez BI, Rodríguez BR, Jiménez GGA, Pérez MPY, Martínez FJG
Full text How to cite this article

Language: Spanish
References: 8
Page: 64-66
PDF size: 58.13 Kb.


Key words:

Intussusception, necrotizing enterocolitis.

ABSTRACT

The intussusception is the prolapse or invagination of a portion of intestine, its age of presentation is in infants, being rare in neonates. Here is presented a case premature neonate of thirteen days of life who initiates with data of abdominal pathology with bilious losses for orogastric tube, distension abdominal with enlargement of gastric chamber as well as dilated loops with presence of a mass in a right lower quadrant added changes of color in wall abdominal; enters to surgery with diagnosis of necrotizing enterocolitis IIIB degree. In the surgery it was found ileo-ileal intussusception and intestinal perforation as well as the presence of Meckel’s diverticulum.
Conclusion: The intussusception is an abdominal disease that should be considered as differential diagnosis in a newborn with data of necrotizing enterocolitis.


REFERENCES

  1. Gorgen-Pauly U, Schultz et al. Intussusception in preterm infants: case report and literature review. Eur J Pediatr 1999; 158: 830-832.

  2. Mooney D, Steinthorsson G et al. Perinatal intussusception in premature infants. Journal of Pediatric Surgery 1996; 31: 695-697.

  3. McMillan et al. Oski’s pediatrics. Principles and practice. 3rd edition. Lippincot Williams and Wilkins, 1999: 1652-1654.

  4. Wang NK, Yeh ML et al. Prenatal and neonatal intussusception. Pediatr Surg Int 1998; 13(4): 232-6.

  5. Blair JT, Lee JT et al. Postoperative intussusception in a premature infant. Journal of Pediatric Surgery 1990; 25(11): 1194-1195.

  6. Pavri DR, Marshall DG et al. Intrauterine intussusception: case report and literature review. Can J S 26: 376-378.

  7. Yoo RP et al. Intussusception in the newborn: a unique clinical entity. J Ped Surg 1974; 9: 495-498.

  8. Smith VS, Giacoia GP et al. Intussusception associated with necrotizing enterocolitis. Clin Pediatric 1984; 23: 43-45.




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Rev Mex Pediatr. 2002;69