Jejunal intussusception as a rare cause of newborn bowel obstruction

Neonatal intussusception is a rare cause of intestinal obstruction in the neonate, particularly in a newborn. It can present similar to necrotizing enterocolitis (NEC), with findings such as abdominal distension, feeding intolerance, and gastrointestinal bleeding. This often results in delayed diagn...

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Autores principales:	Haris Muhammad, Joseph L'Huillier, Ruchi Amin, Phillip Benson Ham, III
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Neonate Newborn Intussusception Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/98b8b54cfd784d46a82b1ac6332f7bdf
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spelling	oai:doaj.org-article:98b8b54cfd784d46a82b1ac6332f7bdf2021-12-02T05:01:33ZJejunal intussusception as a rare cause of newborn bowel obstruction2213-576610.1016/j.epsc.2021.102137https://doaj.org/article/98b8b54cfd784d46a82b1ac6332f7bdf2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003584https://doaj.org/toc/2213-5766Neonatal intussusception is a rare cause of intestinal obstruction in the neonate, particularly in a newborn. It can present similar to necrotizing enterocolitis (NEC), with findings such as abdominal distension, feeding intolerance, and gastrointestinal bleeding. This often results in delayed diagnosis leading to increased morbidity and mortality. For jejunal intussusception, non-operative reduction may be attempted, but is not often successful, so surgical intervention is usually required. While newborn presentation is out of the typical age for idiopathic intussusception without a lead point and a lead point should be assessed for, it may be idiopathic. Although rare, intussusception should be in the differential for bowel obstruction in the neonatal period. X rays and contrast studies may suggest obstruction and it can be reliably diagnosed with abdominal ultrasound (US). We present a case of an early near term neonate presenting with bilious emesis in first 24 hours of life, with contrast studies concerning for proximal obstruction, who on surgical exploration was found to have an isolated jejuno-jejunal intussusception.Haris MuhammadJoseph L'HuillierRuchi AminPhillip Benson Ham, IIIElsevierarticleNeonateNewbornIntussusceptionPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 76, Iss , Pp 102137- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neonate Newborn Intussusception Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Neonate Newborn Intussusception Pediatrics RJ1-570 Surgery RD1-811 Haris Muhammad Joseph L'Huillier Ruchi Amin Phillip Benson Ham, III Jejunal intussusception as a rare cause of newborn bowel obstruction
description	Neonatal intussusception is a rare cause of intestinal obstruction in the neonate, particularly in a newborn. It can present similar to necrotizing enterocolitis (NEC), with findings such as abdominal distension, feeding intolerance, and gastrointestinal bleeding. This often results in delayed diagnosis leading to increased morbidity and mortality. For jejunal intussusception, non-operative reduction may be attempted, but is not often successful, so surgical intervention is usually required. While newborn presentation is out of the typical age for idiopathic intussusception without a lead point and a lead point should be assessed for, it may be idiopathic. Although rare, intussusception should be in the differential for bowel obstruction in the neonatal period. X rays and contrast studies may suggest obstruction and it can be reliably diagnosed with abdominal ultrasound (US). We present a case of an early near term neonate presenting with bilious emesis in first 24 hours of life, with contrast studies concerning for proximal obstruction, who on surgical exploration was found to have an isolated jejuno-jejunal intussusception.
format	article
author	Haris Muhammad Joseph L'Huillier Ruchi Amin Phillip Benson Ham, III
author_facet	Haris Muhammad Joseph L'Huillier Ruchi Amin Phillip Benson Ham, III
author_sort	Haris Muhammad
title	Jejunal intussusception as a rare cause of newborn bowel obstruction
title_short	Jejunal intussusception as a rare cause of newborn bowel obstruction
title_full	Jejunal intussusception as a rare cause of newborn bowel obstruction
title_fullStr	Jejunal intussusception as a rare cause of newborn bowel obstruction
title_full_unstemmed	Jejunal intussusception as a rare cause of newborn bowel obstruction
title_sort	jejunal intussusception as a rare cause of newborn bowel obstruction
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/98b8b54cfd784d46a82b1ac6332f7bdf
work_keys_str_mv	AT harismuhammad jejunalintussusceptionasararecauseofnewbornbowelobstruction AT josephlhuillier jejunalintussusceptionasararecauseofnewbornbowelobstruction AT ruchiamin jejunalintussusceptionasararecauseofnewbornbowelobstruction AT phillipbensonhamiii jejunalintussusceptionasararecauseofnewbornbowelobstruction
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Jejunal intussusception as a rare cause of newborn bowel obstruction

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