Abstract

Research in Pediatrics & Neonatology

Multiple Intussusceptions Associated with Meconium Plugs: A Case and Literature Review

*Corresponding author: Essa Al Awad, MD, Section of Neonatology, Department of Pediatrics, Cumming School of Medicine University of Calgary, Alberta, Canada, Email: Essa.AlAwad@albertahealthservices.ca

*Corresponding author: Kamran Yusuf MD, Section of Neonatology, Department of Pediatrics, Cumming School of Medicine University of Calgary, Rm 2273, Health Sciences Center, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1, Canada, Tel: 403-210-3930; Fax: 403-283-6151; Email: kyusuf@ucalgary.ca

Submission: September 26, 2017; Published: November 02, 2017

ISSN : 2576-9200
Volume1 Issue1

Abstract

Intussusception is uncommon in neonates, especially preterm neonates. Even rarer is the presence of multiple intussusceptions. As the classical signs of intussusception are not present in preterm neonates, the diagnosis is often confused with necrotizing enterocolitis, a much more common abdominal pathology. This delay in diagnosis is thought to be responsible for the high rate of perforations and necrosis seen in intussusception in preterm neonates. We describe a 25 week gestation preterm male neonate who presented with jejuno-jejuno and jejuno-ileal intussusceptions. To our knowledge this is only the second reported case of multiple intussusceptions in a preterm neonate. In addition, we provide some clinical guidelines that may help in making an earlier diagnosis.

Keywords: Intussusceptio; Preterm neonate; Necrotizing enterocolitis; Multiple; Meconium plugs

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