Shad Jimmy, Biswas Rakesh
General Surgery Department, People's College of Medical Sciences and Research Centre Bhopal, Bhopal, India.
BMJ Case Rep. 2011 Dec 5;2011:bcr1120115109. doi: 10.1136/bcr.11.2011.5109.
Intussusception in neonatal age is very rare. A 12-day-old child was referred from peripheral hospital with history of intolerance to feed, absolute constipation, abdominal distension and significant bilious aspirate. Per-rectal examination revealed necrotic haemorrhagic fluid. The patient was treated on the lines of necrotising enterocolitis in the referring hospital. On further investigation and exploration, the patient turned out to be ileo-colic intussusception which is exceedingly less common in premature neonates. Hence, other causes of intestinal obstruction should also be considered along with vigilant clinical outlook in neonates.
新生儿肠套叠非常罕见。一名12天大的婴儿从周边医院转诊而来,有喂养不耐受、完全便秘、腹胀及大量胆汁样吸出物的病史。直肠指检发现坏死性出血性液体。该患者在转诊医院按照坏死性小肠结肠炎进行治疗。进一步检查和探查后,发现患者是回结肠型肠套叠,这在早产儿中极为少见。因此,对于新生儿,除了保持警惕的临床观察外,还应考虑肠梗阻的其他病因。