title: Ileo-ileal intussusception in a premature neonate: an unusual cause of NEC in premature babies.
abstract: Intussusception is a rare entity in neonates. It may present with non-specific signs including abdominal distension, feeding intolerance, vomiting and bloody stools. Symptomatology is similar to Necrotizing Entero-Colitis (NEC). Ultrasound can help to establish early diagnosis in neonate. A 27-week preterm newborn was initially suspected as NEC based on abdominal distention, bilious vomiting, worsening clinical condition and dilated loops of bowel on X-ray, which turned out to be ileo-ileal intussusception. Diagnosis was made by ultrasound obtained for a palpable mass to rule out intra abdominal abscess and lack of improvement in clinical condition despite 5 days of conservative treatment. Surgery was performed consisting of removal of the necrotic intussusception area and end-to-end anastomosis and patient was discharged from hospital on day 60 of life. As a conclusion, pathological abdominal findings in preterm newborns can also be due to conditions other than NEC and ultrasound may be a useful tool for timely and accurate diagnosis.
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Nilgun
authors.initials: N
authors.lastname: Altuntas
authors.affiliation: Departments of Radiology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Oznur
authors.initials: O
authors.lastname: Boyunaga
authors.affiliation: Departments of Pediatric Surgery, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Karabulut
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Kazanci
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Ferit
authors.initials: F
authors.lastname: Kulali
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Esra
authors.initials: E
authors.lastname: Onal
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Canan
authors.initials: C
authors.lastname: Turkyilmaz
authors.affiliation: Departments of Neonatology, Gazi University Medical Faculty, Ankara, Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Ergenekon
mesh_terms: D005260:Female; D006471:Gastrointestinal Hemorrhage; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000601:surgery; D007443:Intussusception / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D016896:Treatment Outcome; D014463:Ultrasonography