Intussusception in preterm infants: case report and literature review.
Intussusception is an extremely rare disorder in preterm infants. An infant of 29 weeks gestational age with this condition is reported and a retrospective analysis of 17 previously reported cases presented. In the reviewed preterm infants, risk factors for intussusception seemed to be multifactorial. Clinical features included severe abdominal distension (17/17), gastric aspirates (13/17), commonly bilious, bloody stools (10/17) and rarely a palpable abdominal mass (5/17). Diagnostic features were signs of small bowel obstruction on the abdominal radiographs. Signs and symptoms were similar to those seen in necrotizing enterocolitis, therefore difficulties in establishing a correct diagnosis led to an average delay of 7 days between the onset of symptoms and abdominal surgery, increasing the risk of developing a compromised bowel.


CONCLUSIONS
The differential diagnosis of an intussusception should be considered in preterm infants with acute abdominal distension and tenderness.
Görgen-Pauly
U
U
Department of Paediatric Surgery, Medical University of Lübeck, Lübeck, Germany.
Schultz
C
C
Kohl
M
M
Sigge
W
W
Möller
J
J
Gortner
L
L
D003937:Diagnosis, Differential; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007231:Infant, Newborn; D007234:Infant, Premature; D007443:Intussusception / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D012307:Risk Factors