title: Intussusception in an extremely premature infant following bacterial sepsis.
abstract: Intussusception occurring in premature infants is exceedingly rare and shows substantially different characteristics from that in the typical age group or non-premature neonates. We present a case of intussusception in an extremely premature infant following bacterial sepsis, in which necrotizing enterocolitis was initially suspected. The correct diagnosis was made at 35 days old using abdominal ultrasonography, but the general condition of the infant had deteriorated to the point where surgery could not be performed. The patient died of multiple organ failure, and autopsy revealed ileo-ileal intussusception without a recognizable anatomical leading point. Possible mechanisms for this rare clinical entity are discussed.
authors: Department of Pediatrics, Nippon Medical School, Tokyo, Japan. shima-p@nms.ac.jp
authors: Yoshio
authors: Y
authors: Shima
authors: Sakae
authors: S
authors: Kumasaka
authors: Kentaro
authors: K
authors: Yashiro
authors: Mizue
authors: M
authors: Nakajima
authors: Makoto
authors: M
authors: Migita
mesh_terms: D017809:Fatal Outcome; D006323:Heart Arrest / Q000150:complications; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D007231:Infant, Newborn; D007234:Infant, Premature; D007443:Intussusception / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D018805:Sepsis / Q000150:complications*; D014463:Ultrasonography