Jejuno-Jejunal Intussusception Caused by Meckel’s Diverticulum in a Neonate: A Case Report

Document Type : Case Report

Authors
Mohamad Hosein Lookzadeh 1 , 2
Fatemeh Baghalsafa 2
Abdolhamid Amooee 3
Sima Valizadeh 2 , 4
1 Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2 Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3 Department of Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
10.18502/wjpn.v2i2.4345
Abstract
Background: Intussusception is very rare in neonatal ages. It's one of differential diagnosis in gastrointestinal obstructions.
Case Presentation: We reported a 5-day old baby who had bilious vomiting after every feeds. The baby had no bloody stool. She was admitted in NICU to rule out gastrointestinal obstruction. There was neither abdominal distension nor palpable abdominal mass. Abdominal ultrasonography was normal. Abdominal plain x-ray showed cut off sign and gray abdomen, intestinal loops were full of fluids. The patient underwent laparotomy. Jejuno-Jejunal intussusception was diagnosed. There was a diverticulum next to invagination area which was resected.
Conclusion: Intussusception has to be in differential diagnosis of gastrointestinal obstruction and NEC. Abdominal ultrasonography and x-ray can be helpful in diagnosis. It might have high mortality and morbidity rates in case of late diagnosis and management.
Keywords
Intussusception
Bilious Vomiting
Neonates
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Journal of Integrated Maternal and Pediatric Care
Volume 2, Issue 2
October 2019
Pages 84-86

  • Receive Date 04 October 2020