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Ileo-ileal intussusception and necrotising enterocolitis after indomethacin exposure masquerading clinically as solitary intestinal perforation.
BMJ Case Rep
January 2025
Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
We report a case of small bowel perforation from ileo-ileal intussusception with necrotising enterocolitis (NEC) after indomethacin exposure mimicking spontaneous intestinal perforation in an extremely preterm neonate. Indomethacin exposure can cause mesenteric hypoperfusion, resulting in an ischaemic lead point for intussusception and NEC. We advocate that intussusception should be considered as one of the differentials for neonates with recurrent feeding intolerance postindomethacin exposure.
View Article and Find Full Text PDFA Case of an Extremely Preterm Infant with Intussusception Triggered by Acquired Cytomegalovirus Infection.
Kobe J Med Sci
June 2024
Department of Pediatrics, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
Intussusception is a common cause of intestinal obstruction in infants aged 6-18 months. However, intussusception in preterm neonates (IPN) is an exceedingly rare disorder. The etiology of IPN remains unclear, but common prenatal injuries, such as those causing intestinal hypoxia/hypoperfusion, dysmotility, and strictures, have been proposed as possible contributing factors.
View Article and Find Full Text PDFSonographic findings of transient marked proximal bowel dilatation in a growth-restricted fetus at 35 weeks' gestation.
Radiol Case Rep
May 2024
The Division of Maternal Fetal Medicine, The Department of Obstetrics and Gynecology, and the Department of Radiology State University of New York (SUNY), Downstate Health Sciences University, Brooklyn, NY, USA.
Etiologies underlying the relatively infrequent third-trimester sonographic depiction of dilated fetal bowel include (functional or mechanical) bowel obstruction, intestinal atresia, volvulus, annular pancreas, intestinal malrotation, intussusception, gastrointestinal duplications, cystic fibrosis-associated meconium ileus, congenital chloride diarrhea, microvillus inclusion disease, intestinal neuronal dysplasia, and meconium plug syndrome. Fetal bowel obstruction may be associated with aneuploidy (mostly Trisomy 21 in association with esophageal or duodenal atresia), and rarely select microduplications or deletions. We present unusual sonographic findings associated with transient marked proximal fetal bowel dilatation in association with concurrent development of oligohydramnios, in a growth-restricted fetus at 35 weeks' gestation.
View Article and Find Full Text PDFA peculiar case of intususception in a pregnant woman: A diagnostic challenge.
Radiol Case Rep
August 2023
Department of Surgery, Teluk Intan Hospital, Ministry of Health Malaysia, Teluk Intan, Perak, Malaysia.
Adult intussusception presents a diagnostic challenge given its non-specific symptoms. It is not as common as in infants and young children. Traditionally, diagnostic steps are invariably fit for normal adults, but not in pregnancy which faces certain limitations.
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