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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 PDFThe Apparent Lack of the Risk of Intussusception Immediately After Rotavirus Vaccination Among Japanese Infants.
Viruses
November 2024
Department of Pediatrics, Akita University Graduate School of Medicine, Akita-shi 010-8543, Japan.
Rotavirus vaccines carry a small risk of intussusception mainly 1-7 days after vaccination in the United States of America, Europe, Australia, and Latin America where the background rate of intussusception is relatively low. Such risks are undetectable in Africa and India where the background rate is the lowest. Because few studies were carried out in high-background-rate countries such as Japan, we examined how intussusception occurred in infants living in Akita prefecture, Japan, while the vaccines were sold in the private market.
View Article and Find Full Text PDFSymptomatic omphalomesenteric duct anomalies in children.
S Afr J Surg
October 2024
Department of Paediatric Surgery, Mehmet Akif İnan Training and Research Hospital, Turkey.
Article Synopsis
- The study focused on children with symptomatic omphalomesenteric duct (OMD) anomalies, analyzing 35 cases from a hospital over four years.
- Most patients were male (82.8%) with symptoms primarily related to gastrointestinal tract obstruction, acute abdomen, or umbilical issues.
- Surgical interventions varied, with successful outcomes and only two complications, showcasing the effectiveness of surgical treatment for these anomalies.
The Lack of an Association of Breastfeeding with the Development of Childhood Intussusception: A Nationwide Birth Cohort Survey in Japan.
Breastfeed Med
December 2024
Department of Social Services and Healthcare Management, International University of Health and Welfare, Otawara, Japan.
This study investigated the association between feeding practices and the development of childhood intussusception. We conducted secondary data analyses using the Longitudinal Survey of Newborns in the 21st Century in Japan. We performed multivariable logistic regression analyses to examine the association between feeding practice and intussusception development in children aged between 6 and 18 months.
View Article and Find Full Text PDFModified Pneumatic Reduction Protocol for Intussusception: A Retrospective Cohort Study in an Ultrahigh Volume Center.
J Pediatr Surg
November 2024
Vinmec Research Institute of Stem Cell and Gene Technology, Vinmec Health Care System, Hanoi, Viet Nam. Electronic address:
Background: This study aims to assess the long-term outcomes of a modified pneumatic reduction protocol for intussusception at the Vietnam National Hospital of Pediatrics, an institution with a significant patient load in a lower-middle-income country.
Patients And Methods: A single center, retrospective cohort observational study was conducted to examine patients who underwent modified fluoroscopic-guided air-enema reduction (FGAR) for intussusception from January 2016 to December 2017. Data on patient demographics, complication rates, and the incidence of long-term recurrence was collected.
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