A CASE OF ILEAL INTUSSUSCEPTION PRESENTING WITH INTESTINAL PERFORATION IN A NEWBORN INFANT WITH A LITERATURE REVIEW

• TANAKA Yoshiaki

  Department of Pediatric Surgery, Kurume University, School of Medicine

• FUKAMIZU Shioko

  Department of Pediatric Surgery, Kurume University, School of Medicine

• ASAKAWA Takahiro

  Department of Pediatric Surgery, Kurume University, School of Medicine

• ASAGIRI Kimio

  Department of Pediatric Surgery, Kurume University, School of Medicine

• HIKIDA Shigeki

  Department of Pediatric Surgery, Kurume University, School of Medicine

• MIZOTE Hiroyoshi

  Department of Pediatric Surgery, Kurume University, School of Medicine

Bibliographic Information

Other Title

• 新生児腸重積症－消化管穿孔で発症した新生児腸重積症の１例と本邦報告集計－

Abstract

We report a case of intussusception presenting with intestinal perforation in an infant together with a literature review. A female infant delivered by caesarean section with the birth weight of 2160g, was diagnosed as having intestinal perforation by leakage of contrast medium from the intestine on abdominal X-ray. She underwent emergency operation on the 1st day after birth. At laparotomy, there were an intestinal stenosis at 20cm proximally from the ileocecal valve, ileal perforation and a polypoid tumor communicated with the intestine in the lumen. Macro-and microscopic findings of the resected intestine and gestational history of fetal ascites suggested that intestinal ischemic damage evoked by intrauterine intussusception might have caused intestinal stenosis with perforation.<br>Thirty-eight cases of neonatal intussusception from the Japanese literature were reviewed and the characteristics of the entity were discussed. It was etiologically thought that intussusception in most infants might be caused by intestinal ischemia due to perinatal hypoxia, but that, in eight cases of mature infants, the existence of some intestinal disease such as intestinal duplication might evoke the condition. As for 18 cases (12 cases: mature infants, 6 cases: infants with low birth weight), the cause was considered as intrauterine intussusception, because of its early onset of the disease within 24 hours after birth. It was thought that the disease might be caused by intestinal ischemia or some associated organic disorder in mature infants, and by intestinal ischemia in other infants with low birth weight. And intestinal perforation or death cases were often noted in the infants with low birth weight.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 65 (3), 688-694, 2004

  Japan Surgical Association

Keywords

• 新生児腸重積症
• 消化管穿孔
• 子宮内重積症

Details

• CRID: 1390282679820153984
• NII Article ID: 130003432774
• NII Article ID: 10012865197
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.65.688
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/3/65_3_688/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004185735
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed