Delayed presentation of intestinal atresia and intussusception--a case report and literature review.
Neonatal intussusception is a rare phenomenon. We report a case where intestinal obstruction became evident after eight days in an infant of 32 weeks gestational age and 0.94 kg birth weight. Laparotomy revealed a type 2 ileal atresia, present as a result of ischaemic injury secondary to intra-uterine intussusception. Resection of the intussuscepted segment was carried out with primary anastomotic repair leading to a good outcome. A period of eight days passed before clinically evident abdominal distension was noted. We address reasons why this may have occurred.
Lewis
M P
MP
Department of Surgery, Royal Post Graduate Medical School, Hammersmith Hospital, London, U.K.
Emberton
M
M
Owen
E R
ER
Singh
M P
MP
D000714:Anastomosis, Surgical; D006801:Humans; D007082:Ileum / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000473:pathology / Q000601:surgery*; D007409:Intestinal Atresia / Q000473:pathology / Q000601:surgery*; D007443:Intussusception / Q000151:congenital* / Q000473:pathology / Q000601:surgery