Double Intussusceptions with Necrotizing Enterocolitis Diagnosed in a Premature Infant.

Park,  Ji Young; Kim,  Young Gwang; Lee,  Na Mi; Cha,  Seong Jae

doi:2015.22.4.213

Neonatal Med > Volume 22(4); 2015 > Article

Case Report

Neonatal Medicine 2015;22(4):213-216.
DOI: https://doi.org/10.5385/nm.2015.22.4.213 Published online November 30, 2015.

Double Intussusceptions with Necrotizing Enterocolitis Diagnosed in a Premature Infant.

Ji Young Park, Young Gwang Kim, Na Mi Lee, Seong Jae Cha

¹Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
²Department of Pediatrics, Chung-Ang University College of Medicine, Seoul, Korea. piena81@hotmail.com
³Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

Intussusception in neonates, especially in preterm infants, is rare. Common symptoms of intussusception, which include distended abdomen and gastric residuals, lead to misdiagnosis as necrotizing enterocolitis (NEC). Delayed diagnosis of neonatal intussusception delays treatment as well, which can lead to life-threatening complications. The predominant location of intussusception in preterm neonates is the small bowel; therefore, ultrasonography is not indicated. We report the case of an 834g male baby born at 25 weeks 6 days of gestation, who was diagnosed with double intussusceptions with NEC.

Key Words: Intussusception; Premature infants; Ultrasonography