Multiple Intussusceptions in an Extremely Premature Infant

Ha-Su Kim; Hyun-A Kim; Sung-Heun Kim; Shin-Yun Byun; Myo-Jing Kim

doi:10.14734/kjp.2014.25.3.202

Journal List > Korean J Perinatol > v.25(3) > 1013719

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Kim, Kim, Kim, Byun, and Kim: Multiple Intussusceptions in an Extremely Premature Infant

Original Article

Korean J Perinatol 2014;25(3):202-205.

Published online: 21 September 2014

DOI: https://doi.org/10.14734/kjp.2014.25.3.202

Multiple Intussusceptions in an Extremely Premature Infant

Ha-Su Kim, M.D.¹, Hyun-A Kim, M.D.¹, Sung-Heun Kim, M.D.², Shin-Yun Byun, M.D.³, Myo-Jing Kim, M.D.¹

¹Departments of Pediatrics and Surgery, College of Medicine, Busan, Korea

²Departments of Pediatrics, Dong-A University, College of Medicine, Busan, Korea

³Department of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea

Correspondence: Myo-Jing Kim, M.D. Department of Pediatrics, Dong-A University College of Medicine, 1,3-ga, Dongdaesin-dong, Seo-gu, Busan 602-714, Korea Tel : +82-51-240-2589, Fax : +82-51-242-2765 E-mail : myojing@dau.ac.kr

Received 16 July 201410 August 2014 Accepted 18 September 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intussusception in premature infants is very rare. Here, we report a case of multiple intussusceptions in an extremely preterm infant, born at 23⁺¹ weeks gestation, who underwent an explolaparotomy, for bowel perforation and misdiagnosed necrotizing enterocolitis, at 20 days of life. To our knowledge, this is the most prematurely born baby that has survived with multiple intussusceptions.

Keywords: Intussusception, Extremely premature infant

REFERENCES

1.Shima Y., Kumasaka S., Yashiro K., Nakajima M., Migita M. Intussusception in an extremely premature infant following bacterial sepsis. Eur J Pediatr. 2012. 171:725–7.

2.Loukas I., Baltogiannis N., Plataras C., Skiathitou AV., Siaha-nidou S., Geroulanos G. Intussusception in a premature neonate: a rare often misdiagnosed cause of intestinal obstruction. Case Rep Med. 2009. 2009:607989.

3.Slam KD., Teitelbaum DH. Multiple sequential intussusceptions causing bowel obstruction in a preterm neonate. J Pediatr Surg. 2007. 42:1279–81.

4.Margenthaler JA., Vogler C., Guerra OM., Limpert JN., Weber TR., Keller MS. Pediatric surgical images: Small bowel intussusception in a preterm infant. J Pediatr Surg. 2002. 37:1515–7.

5.Al-Salem AH., Habash BM. Ileoileal intussusception: a report of four cases. Ann Saudi Med. 2000. 20:310–2.

6.Kim SW., Lee JJ., Yoo BH., Cha SJ., Lee JB., Kwon GY. Double intussusception in a preterm infant. Korean J Perinatol. 2010. 21:408–11.

7.Kim DY., Kim SC., Kim AR., Kim KS., Pi SY., Kim IK. Intestinal perforations in very low birth weight infants. J Korean Assoc Pediatr Surg. 2001. 7:112–7.

8.Cho HJ., Kim JY., Kim MJ., Kim YH., Jung JA., Yang S, et al. A case of intussusception diagnosed by exploratory laparotomy in a very low birth weight infant. J Korean Soc Neonatol. 2007. 14:98–102.

9.Martinez Biarge M., Garcia-Alix A., Luisa del Hoyo M., Alarcon A., Saenz de Pipaon M., Hernandez F, et al. Intussusception in a preterm neonate; a very rare, major intestinal problem--systematic review of cases. J Perinat Med. 2004. 32:190–4.

10.Wang NL., Yeh ML., Chang PY., Sheu JC., Chen CC., Lee HC, et al. Prenatal and neonatal intussusception. Pediatr Surg Int. 1998. 13:232–6.

11.Avansino JR., Bjerke S., Hendrickson M., Stelzner M., Sawin R. Clinical features and treatment outcome of intussusception in premature neonates. J Pediatr Surg. 2003. 38:1818–21.

Fig. 1.

Abdominal radiography that shows small intestine dilated loops and free abdominal air (arrow).

Fig. 2.

Gross finding of intussusceptions.

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